Doctor Name: | JENNIFER HEITKEMPER |
NPI Number: | 1770957573 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | COND.2015295 |
Business Practice Address: | 4631 Hickory Woods Ln Mason, OH - 450404517 |
Business Phone Number: | 5133893741 |
Business Fax Number: | 5133982169 |
Mailing Address: | 3301 Shadylake Dr, LOVELAND |
State: | OH |
Postal Code: | 451401802 |
Phone Number: | 5133148582 |
Fax Number: | |
NPI Enumeration Date: | 11/18/2015 |
NPI Last Update Date: | 11/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | COND.2015295 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |