Individual
HEATHER ALYSE HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2424 DOUBLE CHURCHES RD, COLUMBUS, GA 31909-2741
(706) 324-6112
(706) 596-8259
Mailing address
2424 DOUBLE CHURCHES RD, COLUMBUS, GA 31909-2741
(706) 324-6112
(706) 596-8259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
PCET002023
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP008656
GA
Other
Enumeration date
07/22/2013
Last updated
08/28/2014
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