Doctor Name: | MS. HEATHER E EISENMAN |
NPI Number: | 1013358969 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | 335 |
Business Practice Address: | 1019 26th Ave Apt A Fairbanks, AK - 997016944 |
Business Phone Number: | 7073642013 |
Business Fax Number: | |
Mailing Address: | 1019 26th Ave, Apt A FAIRBANKS |
State: | AK |
Postal Code: | 997016944 |
Phone Number: | 7073642013 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2013 |
NPI Last Update Date: | 07/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 335 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
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 |