Individual
AMY MARIE HEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
300 EL CAMINO REAL, SIERRA VISTA, AZ 85635-2812
(520) 417-4560
Mailing address
300 EL CAMINO REAL, SIERRA VISTA, AZ 85635-2812
(520) 991-9198
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5810
AZ
235Z00000X
Speech-Language Pathologist
C-3964
NM
Other
Enumeration date
08/24/2006
Last updated
11/25/2009
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