Mcgovern, Heidi Bourg
Mcgovern, Heidi Bourg is an individual health care provider with primary practice located at 13909 Florida Blvd , Livingston LA 70754-6340. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is her primary health care specialty. Mcgovern, Heidi Bourg can be contacted via phone (225) 686-7600.Contact Information
Primary practice address
13909 Florida Blvd
Livingston LA 70754-6340
Phone: (225) 686-7600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3934 | Louisiana |
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | 3934 | Louisiana |
Profile Details
| NPI number | 1619095304 |
|---|---|
| LBN Legal business name | Mcgovern, Heidi Bourg |
| Credentials | MA CCC-A-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Jul 12th, 2023 - about 3 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 | 1619095304 | NPPES |
| Louisiana | MEDICAID | 1-31827-2 | |
| Louisiana | MEDICAID | 1-47266-2 |
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