Doctor Name: | MRS. CARMEN MARIE HEITZER-WINER |
NPI Number: | 1154579407 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SA 6678 |
Business Practice Address: | 3090 N Academy Blvd Colorado Springs, CO - 809175310 |
Business Phone Number: | 7195748300 |
Business Fax Number: | 7195749547 |
Mailing Address: | 5248 Prairie Grass Ln, COLORADO SPRINGS |
State: | CO |
Postal Code: | 809222221 |
Phone Number: | 7193587975 |
Fax Number: | 7195749547 |
NPI Enumeration Date: | 08/28/2008 |
NPI Last Update Date: | 08/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 6678 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |