Individual provider · Type 1 NPI

Samuel Antonio Reynoso

Speech-Language Assistant · Mesa, AZ

NPI number 1043036213 Active

Practice location

2150 S Country Club Dr
Mesa, AZ 85210-6809

Mailing address

PO Box 50218
Phoenix, AZ 85076-0218

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801XSLPA15782 (AZ)

Speech-Language Assistant: Definition to come...

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About NPI 1043036213

Samuel Antonio Reynoso's National Provider Identifier is 1043036213, issued on Dec 3, 2024. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Mesa, AZ. The record was last updated on Dec 3, 2024.