Individual
MRS. AMBER LEIGH HEINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
1673 DOUSMAN ST, GREEN BAY, WI 54303-3209
(920) 498-2599
(920) 498-2394
Mailing address
W5321 QUARRY RD, APPLETON, WI 54913-9757
(920) 733-1975
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2380-154
WI
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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