Individual
HEATHER ANN RILEY-HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, CCC-SLP
Contact information
Practice address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 886-4677
Mailing address
9301 W 94TH PL, SAINT JOHN, IN 46373-8717
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003891A
IN
Other
Enumeration date
08/28/2012
Last updated
09/19/2012
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