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Individual

HEATHER RUESCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
5831 CACTUS VALLEY RD, CHARLOTTE, NC 28277-3666
(412) 897-8646
Mailing address
5831 CACTUS VALLEY RD, CHARLOTTE, NC 28277-3666
(412) 897-8646

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13140
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140HJ
NC BCBS
NC
05
7412363
NC
Enumeration date
09/15/2005
Last updated
03/06/2019
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