Individual
HEATHER CORALYN TREZISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
262 SAGE DR, GUNNISON, CO 81230-9608
(970) 209-2430
Mailing address
262 SAGE DR, GUNNISON, CO 81230-9608
(970) 209-2430
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0004756
CO
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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