Individual
MS. JULIE HEISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4721 E GATEWOOD RD, PHOENIX, AZ 85050-6153
(480) 502-0211
(480) 502-4489
Mailing address
4721 E GATEWOOD RD, PHOENIX, AZ 85050-6153
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 0216
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
555625
—
AZ
01
—
AZ0143800
BCBS
AZ
Enumeration date
10/16/2006
Last updated
07/09/2007
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