Individual
HEATHER M MICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
1 MEMORIAL SQ STE 230, GREENFIELD, IN 46140-1381
(317) 844-7059
(317) 819-0044
Mailing address
9002 N MERIDIAN ST STE 222, INDIANAPOLIS, IN 46260-5350
(317) 844-7059
(317) 819-0044
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002326A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200915740
—
IN
Enumeration date
06/04/2007
Last updated
06/18/2021
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