Doctor Name: | MRS. HEATHER ANN SYDORWICZ |
NPI Number: | 1114235488 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC/SLP |
License Number: | SP 8834 |
Business Practice Address: | 2801 Martin Luther King Jr Dr Cleveland, OH - 441043815 |
Business Phone Number: | 2164486440 |
Business Fax Number: | 2164486445 |
Mailing Address: | 5295 Whitehaven Ave, NORTH OLMSTED |
State: | OH |
Postal Code: | 440703960 |
Phone Number: | 2164486405 |
Fax Number: | 2164486445 |
NPI Enumeration Date: | 09/20/2010 |
NPI Last Update Date: | 09/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 8834 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |