Provider Demographics
NPI:1386970143
Name:REYES-ALAMI, CAMIL (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CAMIL
Middle Name:
Last Name:REYES-ALAMI
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 LOYOLA CIR
Mailing Address - Street 2:#19205
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-5553
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:513 LOYOLA CIR
Practice Address - Street 2:#19205
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-5553
Practice Address - Country:US
Practice Address - Phone:407-965-9595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-28
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 9879235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist