Individual
MS. HEATHER E EISENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1528 BLUEGRASS DR, FAIRBANKS, AK 99709-5635
(707) 364-2013
Mailing address
PO BOX 507, ESTER, AK 99725-0507
(707) 364-2013
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12092554-4102
UT
235Z00000X
Speech-Language Pathologist
Primary
335
AK
235Z00000X
Speech-Language Pathologist
SLP.0004132
CO
235Z00000X
Speech-Language Pathologist
SP-2904
NV
Other
Enumeration date
07/08/2013
Last updated
04/27/2023
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