Doctor Name: | HEIDI MINICK STARKE |
NPI Number: | 1821127473 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SP |
License Number: | SP 2256 |
Business Practice Address: | 19824 Sussex Rd Shaker Heights, OH - 441224917 |
Business Phone Number: | 2169919135 |
Business Fax Number: | |
Mailing Address: | 7725 Woodlands Trl, CHESTERLAND |
State: | OH |
Postal Code: | 440263000 |
Phone Number: | 4407291603 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 2256 |
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 |