Individual
HEATHER KIESEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 LACRUE AVE, SUITE 210, GLEN MILLS, PA 19342-1062
(800) 578-7906
(800) 878-5497
Mailing address
PO BOX 7, CONCORDVILLE, PA 19331-0007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007939
PA
Other
Enumeration date
07/13/2009
Last updated
11/16/2011
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