Individual
MRS. HEIDI HANDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1673 DOUSMAN ST, GREEN BAY, WI 54303-3209
(920) 498-2559
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2268154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100017468
—
WI
Enumeration date
09/08/2008
Last updated
10/25/2023
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