Individual
MS. HEATHER ELOISE ELAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S HARBOR BLVD STE 100, ANAHEIM, CA 92805-5188
(949) 233-2181
(657) 208-3088
Mailing address
800 S HARBOR BLVD STE 100, ANAHEIM, CA 92805-5188
(949) 233-2181
(657) 208-3088
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
26962
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP26962
SPEECH LANGUAGE PATHOLOGIST
CA
Enumeration date
07/19/2012
Last updated
02/22/2024
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