Individual
FANNY L HELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD
Contact information
Practice address
4600 RIVER RD, MARRERO, LA 70072-1943
(504) 349-8677
Mailing address
4600 RIVER RD, MARRERO, LA 70072-1943
(504) 349-7600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3362
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1701033
—
LA
Enumeration date
12/02/2021
Last updated
02/14/2022
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