Individual
MRS. HEATHER MARIE DEWYZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.CF
Contact information
Practice address
500 7TH AVE S, BOX 7700, ST PETERSBURG, FL 33701-4820
(727) 767-6725
Mailing address
835 20TH AVENUE NORTH, ST PETERSBURG, FL 33704
(727) 767-4141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9188
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010151600
—
FL
Enumeration date
02/07/2007
Last updated
06/13/2017
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