Individual
HEATHER MICHELLE DOMYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 PLUM POINT RD, HUNTINGTOWN, MD 20639-9248
(443) 550-9730
Mailing address
323 SKYVIEW DR, WEST MIFFLIN, PA 15122-1161
(412) 414-9796
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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