Individual
JONATHAN HEIDERSCHEIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
15160 FOLIAGE AVE # 170, APPLE VALLEY, MN 55124-5916
(952) 683-1745
Mailing address
8801 JASMINE LN, EDEN PRAIRIE, MN 55344-3913
(563) 568-1066
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MN
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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