National Provider Identifier
Kristin B Reisch, SLP CCC
Kristin B Reisch, SLP CCC is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 697-6503.
Profile Overview
- NPI
- 1750955969
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 13, 2021
- Last Updated
- May 13, 2021
Practice Location
- 1500 Portland Avneue
- Rochester, NY 14621
Phone: (585) 697-6503
Mailing Address
- 28 Rodessa RD
- Rochester, NY 14616-4602
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1750955969
- Entity Type
- Individual
- Last Name
- Reisch
- First Name
- Kristin
- Middle Name
- B
- Credential
- SLP CCC
- Mailing Street Address
- 28 Rodessa RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14616-4602
- Mailing Country
- US
- Mailing Phone
- (716) 725-9287
- Practice Street Address
- 1500 Portland Avneue
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621
- Practice Country
- US
- Practice Phone
- (585) 697-6503
- Enumeration Date
- May 13, 2021
- Last Updated
- May 13, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 17, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)