Doctor Name: | JANNELE HECKELMAN |
NPI Number: | 1760669055 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 3046-154 |
Business Practice Address: | 4121 Pennsylvania Ave Dubuque, IA - 520022628 |
Business Phone Number: | 5635834004 |
Business Fax Number: | 5635834737 |
Mailing Address: | 4121 Pennsylvania Ave, DUBUQUE |
State: | IA |
Postal Code: | 520022628 |
Phone Number: | 5635834004 |
Fax Number: | 5635834737 |
NPI Enumeration Date: | 01/29/2008 |
NPI Last Update Date: | 07/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3046-154 |
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 |