Individual
HEATHER JOY DRAGASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
605 CLINTON AVE E, HUNTSVILLE, AL 35801-4137
(256) 508-6086
Mailing address
2966 HAMPTON COVE WAY SE, OWENS CROSS ROADS, AL 35763-9330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4102
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12043498
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
—
01
—
4102
ALABAMA BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY
AL
Enumeration date
02/04/2018
Last updated
02/04/2018
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