| Doctor Name: | AMY MARIE HEISE |
| NPI Number: | 1215044359 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. CCC-SLP |
| License Number: | C-3964 |
| Business Practice Address: | 300 El Camino Real Sierra Vista, AZ - 856352812 |
| Business Phone Number: | 5204174560 |
| Business Fax Number: | |
| Mailing Address: | 300 El Camino Real, SIERRA VISTA |
| State: | AZ |
| Postal Code: | 856352812 |
| Phone Number: | 5209919198 |
| Fax Number: | |
| NPI Enumeration Date: | 08/24/2006 |
| NPI Last Update Date: | 11/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | C-3964 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| 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 |