Most Relevant Information
Provider Data
| NPI Number: | 1003173188 |
| Provider Name: | KELLY REISS |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SLP7662 |
Most Important Dates
| Enumeration Date: | 04/13/2012 |
| Last Updated: | 07/16/2015 |
Provider Practice Location
601 N KEY BISCAYNE DR
GILBERT
AZ
852348114
Practice Location Phone/Fax
| Phone: | 4804979343 |
| Fax: |
Provider Mailing Location
140 S GILBERT RD
GILBERT
AZ
852961016
Provider Mailing Phone/Fax
| Phone: | 4804973300 |
| Fax: |