Individual
KRISTA HEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 SWAINS DR, PEACHTREE CITY, GA 30269-5789
(484) 433-2392
Mailing address
355 SWAINS DR, PEACHTREE CITY, GA 30269-5789
(484) 433-2392
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SL007170
PA
235Z00000X
Speech-Language Pathologist
Primary
SLP011024
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014252790001
—
PA
Enumeration date
11/28/2007
Last updated
12/23/2024
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