Individual
MRS. MALLORY RUTH HECKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
6249 MUIRFIELD DR SW, CEDAR RAPIDS, IA 52404-7401
(319) 535-2077
Mailing address
6249 MUIRFIELD DR SW, CEDAR RAPIDS, IA 52404-7401
(319) 535-2077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
081282
IA
Other
Enumeration date
04/02/2018
Last updated
06/16/2018
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