Durham, Heidi
Durham, Heidi is an individual health care provider with primary practice located at 3750 E Country Field Cir Ste B , Wasilla AK 99654-6659. 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. Durham, Heidi can be contacted via phone (907) 373-1410.Contact Information
Primary practice address
3750 E Country Field Cir Ste B
Wasilla AK 99654-6659
Phone: (907) 373-1410
Fax: (907) 373-1411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 17785 | Texas |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 194636 | Alaska |
Profile Details
| NPI number | 1831478841 |
|---|---|
| LBN Legal business name | Durham, Heidi |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2011 |
| Last updated | Aug 4th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831478841 | NPPES |
| Alaska | MEDICAID | 173505 |
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