Individual
MS. LACEY A HEID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
610 NW 11TH ST, HERMISTON, OR 97838-6601
(541) 667-3633
(541) 667-3642
Mailing address
1420 NW 11TH ST, APT. C303, HERMISTON, OR 97838-6887
(541) 720-9243
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15175
OR
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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