Doctor Name: | CHRISTINA JEAN HEIBERGER |
NPI Number: | 1881036788 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 12123521 |
Business Practice Address: | 2905 3rd Ave Se Aberdeen, SD - 574015420 |
Business Phone Number: | 6056264380 |
Business Fax Number: | 6056264391 |
Mailing Address: | 905 17th Ave Sw, ABERDEEN |
State: | SD |
Postal Code: | 574015639 |
Phone Number: | 6056261187 |
Fax Number: | 6056264391 |
NPI Enumeration Date: | 07/22/2013 |
NPI Last Update Date: | 05/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12123521 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |