Individual
MRS. HEIDI MUSGRAVE HENNIG-HANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3885
Mailing address
433 42ND ST, OAKLAND, CA 94609-2528
(530) 304-8362
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17493
CA
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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