Individual
MRS. CILLE WILDS HEEHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
4055 N PARK LOOP, MEMPHIS, TN 38152-6008
(901) 678-2009
(901) 678-5497
Mailing address
850 POPLAR AVE BLDG 2, MEMPHIS, TN 38105-4607
(901) 287-7337
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1857
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q067921
—
TN
Enumeration date
01/18/2021
Last updated
08/16/2021
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