Provider Demographics
NPI:1710407887
Name:REESE, AMBER (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:
Last Name:REESE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:994 VILLAGE SQUARE DR # 6K
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-5293
Mailing Address - Country:US
Mailing Address - Phone:832-510-9240
Mailing Address - Fax:
Practice Address - Street 1:994 VILLAGE SQUARE DR # 6K
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-5293
Practice Address - Country:US
Practice Address - Phone:832-510-9240
Practice Address - Fax:346-299-5204
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111060235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX111060OtherSTATE BOARD OF EXAMINERS FOR SPEECH PATHOLOGY