Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972116689 Individual Practitioner Female Practitioner

Lara Reyes , SLP

Speech-Language Pathologist • Vallejo, CA

Professional Overview & Biography Verified Profile Summary

Lara Reyes, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Vallejo, CA. Practice services are available at 612 DEL MAR AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

612 Del Mar Ave

Vallejo, CA 945892605

Telephone 7075568420

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Vallejo, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
45 Specialists

Practicing in Vallejo, CA (13280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-24
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 15934

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Jacquelyn Makely , MAE PPS

Psychologist - School

NPI 1780564369

MAEPPS

Markeisha Washington

Health & Wellness Coach

NPI 1790661692

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 24, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2020

Registered at 612 DEL MAR AVE, VALLEJO, CA 945892605 (Tel: 7075568420)

📍
Updated Business Mailing Address August 24, 2020

Registered at 1300 SOUTHAMPTON RD APT 139, BENICIA, CA 945101743 (Tel: 7074007864)

👤
Provider Name / Credentials Updated August 24, 2020

Recorded as LARA REYES, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2020

Speech-Language Pathologist (License #15934 in CA)

🟢
Initial NPI Registration & Enumeration August 24, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972116689
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2020
Last Update: August 24, 2020
Sole Proprietor: Yes

Mailing Address

1300 Southampton Rd Apt 139

Benicia, CA 945101743

Phone: 7074007864

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.