Individual
HEATHER HEIM SKEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED. CCC-SLP
Contact information
Practice address
5846 MANTARIO DR, CHARLOTTE, NC 28269-5215
(704) 948-9071
Mailing address
5846 MANTARIO DR, CHARLOTTE, NC 28269-5215
(704) 948-9071
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4641
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01143954
ASHA CERTIFICATION NUMBER
NC
01
—
4641
STATE LICENSE NUMBER
NC
Enumeration date
07/06/2006
Last updated
07/08/2007
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