Individual
HEATHER ELIZABETH OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED., CCC-SLP
Contact information
Practice address
6701 FORTUNA RD NW, ALBUQUERQUE, NM 87121-1399
(505) 831-6993
Mailing address
196 AMHURST CT # 5045, ELLIJAY, GA 30540-8710
(478) 697-5507
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007313
GA
Other
Enumeration date
12/04/2012
Last updated
01/05/2022
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