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Individual
HEATHER RENEE FIELD
Active
Individual
HEATHER RENEE FIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100788
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172172201
SUPH
TX
05
—
172172201
—
TX
01
—
272018971
TRICARE
TX
01
—
87451T
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/22/2005
Last updated
12/13/2017
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