Individual
MRS. HEATHER CA TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
352 SUNSET DR, RUTLAND, VT 05701-9123
(802) 236-8045
Mailing address
352 SUNSET DR, RUTLAND, VT 05701-9123
(802) 236-8045
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12052407
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12052407
ASHA CERTIFICATION
VT
Enumeration date
02/07/2007
Last updated
02/24/2011
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