Individual
HEIDI WALTMAN CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2226 MURPHY ST, SHREVEPORT, LA 71103-2549
(318) 603-6700
Mailing address
2226 MURPHY ST, SHREVEPORT, LA 71103-2549
(318) 603-6700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6025
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6025
—
LA
Enumeration date
08/26/2021
Last updated
08/26/2021
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