Pederson, Heather L

Pederson, Heather L is an individual health care provider with primary practice located at 210 S 6Th St , Buckeye AZ 85326-2830. 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. Pederson, Heather L can be contacted via phone (623) 386-4487.

Contact Information

Primary practice address
210 S 6Th St Buckeye AZ 85326-2830
Phone: (623) 386-4487
Fax: (623) 386-6063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4778 Arizona

Profile Details

NPI number 1235346065
LBN Legal business name Pederson, Heather L
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jul 8th, 2007 - about 19 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 1235346065 NPPES
Arizona Other 09145517 ASHA CERTIFIED MEMBER
Arizona Other 4778 ASHA CERTIFIED MEMBER

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