Individual
HEATHER WIEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
3800 RESERVIOR RD, WASHINGTON, DC 20057-0001
(202) 444-3690
Mailing address
10722 MIDSUMMER DR, RESTON, VA 20191-5115
(703) 439-8801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005558
VA
Other
Enumeration date
11/04/2008
Last updated
05/26/2020
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