| Doctor Name: | HEATHER SCISM |
| NPI Number: | 1205239761 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. CCC-SLP |
| License Number: | 9859 |
| Business Practice Address: | 17228 Lancaster Hwy Suite 212 Charlotte, NC - 282772078 |
| Business Phone Number: | 7043079541 |
| Business Fax Number: | 7045401197 |
| Mailing Address: | 17228 Lancaster Hwy, Suite 212 CHARLOTTE |
| State: | NC |
| Postal Code: | 282772078 |
| Phone Number: | 7043079541 |
| Fax Number: | 7045401197 |
| NPI Enumeration Date: | 09/29/2014 |
| NPI Last Update Date: | 09/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 9859 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| 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 |