Doctor Name: | MRS. KELLEY MARIE HEIL |
NPI Number: | 1235306721 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,CCC-SLP |
License Number: | 668154 |
Business Practice Address: | 11333 W National Ave Milwaukee, WI - 532273111 |
Business Phone Number: | 4143272295 |
Business Fax Number: | |
Mailing Address: | 5359 N Idlewild Ave, WHITEFISH BAY |
State: | WI |
Postal Code: | 532175330 |
Phone Number: | 4149647894 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2008 |
NPI Last Update Date: | 05/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 668154 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |