Individual
SHYANNE HEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
1710 JET STREAM DR STE 105, COLORADO SPRINGS, CO 80921-3937
(719) 434-1109
Mailing address
1710 JET STREAM DR STE 105, COLORADO SPRINGS, CO 80921-3937
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
11/27/2023
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