Individual
HEIDI KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 POSA PLACE, DARTMOUTH, MA 02747-2511
(508) 996-3391
Mailing address
28 JAN MARIE DR, PLYMOUTH, MA 02360-4662
(508) 747-6522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4898
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000002803
BMC
MA
Enumeration date
02/28/2007
Last updated
07/08/2007
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