Individual
ANGELA HEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6029 E PARADISE LN, SCOTTSDALE, AZ 85254-1313
(602) 703-0613
Mailing address
6029 E PARADISE LN, SCOTTSDALE, AZ 85254-1313
(602) 703-0613
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
DOH#SLP4771
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
956708
—
AZ
Enumeration date
10/19/2006
Last updated
02/02/2024
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