Individual
ANDREA VANDERHEIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
25150 N FUHRMAN RD, ACAMPO, CA 95220-9350
(209) 663-1586
Mailing address
25150 N FUHRMAN RD, ACAMPO, CA 95220-9350
(209) 663-1586
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19963
CA
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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