Individual
HEATHER HEINTZ FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
255 SE 7TH AVE, CRYSTAL RIVER, FL 34429-4891
(352) 795-4114
Mailing address
2830 S CIRCLE PT, INVERNESS, FL 34450-6981
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA4388
FL
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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