Individual
HEATHER DENEANE BERSUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2133 NW 13TH ST, BLUE SPRINGS, MO 64015-7734
(816) 224-0003
(816) 224-2199
Mailing address
313 SE GINGERBREAD LN, BLUE SPRINGS, MO 64014-3612
(816) 229-6228
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2000163575
MO
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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