Provider Demographics
NPI:1093517807
Name:ALEXIS REITER, CCC SLP, LLC
Entity type:Organization
Organization Name:ALEXIS REITER, CCC SLP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:REITER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:814-360-7517
Mailing Address - Street 1:2 TERENCE DR
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3438
Mailing Address - Country:US
Mailing Address - Phone:814-360-7517
Mailing Address - Fax:
Practice Address - Street 1:2 TERENCE DR
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3438
Practice Address - Country:US
Practice Address - Phone:814-360-7517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty