Provider Demographics
NPI:1437999620
Name:REECE, AMBER J (CCC-SLP)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:J
Last Name:REECE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 OHIO ST STE 1
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47807-3923
Mailing Address - Country:US
Mailing Address - Phone:812-328-7300
Mailing Address - Fax:812-328-7400
Practice Address - Street 1:2901 OHIO BLVD STE 235
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47803-2239
Practice Address - Country:US
Practice Address - Phone:812-328-7300
Practice Address - Fax:812-328-7400
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22007000A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist