Individual
HEIDEMARIE HASSE LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 PENNSYLVANIA AVE, LYNCHBURG, VA 24502-4727
(434) 847-8649
Mailing address
107 PENNSYLVANIA AVE, LYNCHBURG, VA 24502-4727
(434) 847-8649
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202000678
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00649145
AMERICAN SPEECH HEARING ASSOCIATION
—
01
—
2202000678
BOARD OF AUDIOLOGY AND SPEECH LANGUAGE PATHOLOGY
VA
Enumeration date
05/03/2010
Last updated
05/03/2010
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