Provider Demographics
NPI:1174406243
Name:RENI HANLEY SLP, LLC
Entity type:Organization
Organization Name:RENI HANLEY SLP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:RENI
Authorized Official - Last Name:HANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:405-826-7852
Mailing Address - Street 1:2001 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-6612
Mailing Address - Country:US
Mailing Address - Phone:405-826-7852
Mailing Address - Fax:580-606-6397
Practice Address - Street 1:261 EAST LAKE DRIVE
Practice Address - Street 2:
Practice Address - City:MEDICINE PARK
Practice Address - State:OK
Practice Address - Zip Code:73072-0043
Practice Address - Country:US
Practice Address - Phone:405-826-7852
Practice Address - Fax:580-606-6397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty