Individual
KASEY HEITZMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4812 SANTANA CIR, COLUMBIA, MO 65203-7138
(573) 514-3525
Mailing address
PO BOX 511, ASHLAND, MO 65010-0511
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
116490
TX
235Z00000X
Speech-Language Pathologist
Primary
2020000893
MO
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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