| Doctor Name: | MS. LACEY A HEID |
| NPI Number: | 1174912604 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. CCC-SLP |
| License Number: | 15175 |
| Business Practice Address: | 610 Nw 11th St Hermiston, OR - 978386601 |
| Business Phone Number: | 5416673633 |
| Business Fax Number: | 5416673642 |
| Mailing Address: | 1420 Nw 11th St, Apt. C303 HERMISTON |
| State: | OR |
| Postal Code: | 978386887 |
| Phone Number: | 5417209243 |
| Fax Number: | |
| NPI Enumeration Date: | 01/21/2015 |
| NPI Last Update Date: | 01/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 15175 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| 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 |