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Individual

MRS. HEIDI JANE MCRAE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
1018 S WATER AVE, GALLATIN, TN 37066-3958
(412) 780-4147
Mailing address
501 GROVE CREEK AVE, NASHVILLE, TN 37214-4808
(412) 780-4147

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000003608
TN
235Z00000X
Speech-Language Pathologist
SL009395
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1174764930
PA
Enumeration date
03/09/2009
Last updated
02/06/2015
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