Individual
MRS. SUSAN EDMUNDS HECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
5937 COVE RD, ROANOKE, VA 24019-2403
(540) 562-3900
Mailing address
5937 COVE RD, ROANOKE, VA 24019-2403
(540) 562-3900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003878
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2202003878
COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
10/23/2017
Last updated
10/23/2017
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