Most Relevant Information
Provider Data
| NPI Number: | 1003212986 |
| Provider Name: | THERESA RIEVES MS, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 4791 |
Most Important Dates
| Enumeration Date: | 11/05/2014 |
| Last Updated: | 11/05/2014 |
Provider Practice Location
106 JANEWAY CT
KERNERSVILLE
NC
272842403
Practice Location Phone/Fax
| Phone: | 3364088247 |
| Fax: |
Provider Mailing Location
106 JANEWAY CT
KERNERSVILLE
NC
272842403
Provider Mailing Phone/Fax
| Phone: | 3364088247 |
| Fax: |