Doctor Name: | MRS. AMBER LEIGH HEINZ |
NPI Number: | 1558443838 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS/CCC-SLP |
License Number: | 2380-154 |
Business Practice Address: | 1673 Dousman St Green Bay, WI - 543033209 |
Business Phone Number: | 9204982599 |
Business Fax Number: | 9204982394 |
Mailing Address: | W5321 Quarry Rd, APPLETON |
State: | WI |
Postal Code: | 549139757 |
Phone Number: | 9207331975 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2380-154 |
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 |