Doctor Name: | HEIDI E WRIGHT |
NPI Number: | 1003969858 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | |
Business Practice Address: | 634 N Main St Ste 3 O Fallon, IL - 622693733 |
Business Phone Number: | 6186324222 |
Business Fax Number: | |
Mailing Address: | 402 E State St, O FALLON |
State: | IL |
Postal Code: | 622691427 |
Phone Number: | 6189780726 |
Fax Number: | |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 01/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |