| Doctor Name: | MS. HEIDI LYNN VANDERMEULEN |
| NPI Number: | 1396133567 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. ED,, TVI |
| License Number: | 1859165 |
| Business Practice Address: | 415 Deland Drive Utica, NY - 13502 |
| Business Phone Number: | 3152697377 |
| Business Fax Number: | |
| Mailing Address: | 415 Deland Dr, UTICA |
| State: | NY |
| Postal Code: | 135021918 |
| Phone Number: | 3152697377 |
| Fax Number: | |
| NPI Enumeration Date: | 12/22/2014 |
| NPI Last Update Date: | 12/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225500000X |
| License Number: | 1859165 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |