| Doctor Name: | CHRISTOPHER P HEISTAND |
| NPI Number: | 1932180288 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | SLP |
| License Number: | |
| Business Practice Address: | 4510 Intelco Loop Se Ste. B Lacey, WA - 985036004 |
| Business Phone Number: | 3607861753 |
| Business Fax Number: | 3607861793 |
| Mailing Address: | 1401 Marvin Rd Ne, 307 #266 LACEY |
| State: | WA |
| Postal Code: | 985165749 |
| Phone Number: | 3607861753 |
| Fax Number: | 3607861793 |
| NPI Enumeration Date: | 11/11/2005 |
| NPI Last Update Date: | 08/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| 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 |