Individual
HEATHER EASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
Mailing address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP6635
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630665
—
AZ
Enumeration date
08/05/2011
Last updated
09/08/2011
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