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Individual

ANNE TERESA HEINTZELMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433, MADISON, WI 53792-0001
(608) 662-0817
Mailing address
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433, MADISON, WI 53792-0001
(608) 662-0817

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
389-154
WI
235Z00000X
Speech-Language Pathologist
42577600
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
389-154
SPEECH LANGUAGE PATH
WI
05
42577600
WI
Enumeration date
12/11/2006
Last updated
07/09/2007
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