Individual
MRS. HEATHER DENISE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
247 WYATT LN, WEST JEFFERSON, NC 28694-9154
(336) 977-6851
(336) 384-4500
Mailing address
247 WYATT LN, WEST JEFFERSON, NC 28694-9154
(336) 977-6851
(336) 384-4500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6870
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412327
—
NC
Enumeration date
01/18/2007
Last updated
07/09/2007
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