Doctor Name: | HEATHER HEATH |
NPI Number: | 1659771335 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 11448 |
Business Practice Address: | 124 East Park Dr Beulaville, NC - 285186916 |
Business Phone Number: | 8882586905 |
Business Fax Number: | 8882586905 |
Mailing Address: | 414 Biscayne Dr, WILMINGTON |
State: | NC |
Postal Code: | 284119427 |
Phone Number: | 9106160204 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2014 |
NPI Last Update Date: | 02/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 11448 |
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 |