Individual
ASHLEY MERCEDES HEIDTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2520 ELISHA AVE, ZION, IL 60099-2676
(847) 872-6050
Mailing address
3515 W MEDILL AVE APT 2W, CHICAGO, IL 60647-6168
(203) 988-7336
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
113958
IA
235Z00000X
Speech-Language Pathologist
22008086A
IN
235Z00000X
Speech-Language Pathologist
Primary
242.006368
IL
235Z00000X
Speech-Language Pathologist
5772
OK
235Z00000X
Speech-Language Pathologist
7101007912
MI
Other
Enumeration date
08/27/2021
Last updated
01/12/2023
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