Individual
CASSIDEY DANIELLE HEATHCOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1000 SE STEPHENS ST, ROSEBURG, OR 97470-4818
(541) 900-1418
(541) 900-1419
Mailing address
1000 SE STEPHENS ST, ROSEBURG, OR 97470-4818
(541) 900-1418
(541) 900-1419
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016445
OR
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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