Individual
HEATHER SEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
36 STONE RD, SUDBURY, MA 01776-2923
(610) 639-7877
Mailing address
36 STONE RD, SUDBURY, MA 01776-2923
(610) 639-7877
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
21235
CA
235Z00000X
Speech-Language Pathologist
Primary
8083
MA
235Z00000X
Speech-Language Pathologist
SL009492
PA
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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