Dewyze, Heather Marie

Dewyze, Heather Marie is an sole proprietor health care provider with primary practice located at 500 7Th Ave S Box 7700, St Petersburg FL 33701-4820. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dewyze, Heather Marie can be contacted via phone (727) 767-6725.

Contact Information

Primary practice address
500 7Th Ave S Box 7700 St Petersburg FL 33701-4820
Phone: (727) 767-6725
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA9188 Florida

Profile Details

NPI number 1205976701
LBN Legal business name Dewyze, Heather Marie
Credentials MS.CF
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jun 13th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205976701 NPPES
Florida MEDICAID 010151600

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