Individual
MS. HEATHER ALISE NOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8070
Mailing address
16 WILLOW AVE, CLEONA, PA 17042-2561
(717) 376-4056
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL002079
PA
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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