Individual
MS. KATHLEEN ELIZABETH HEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
3401 LOCKWOOD DR, LAKESIDE, AZ 85929-5613
(928) 368-2060
Mailing address
1763 JOHN L FISH LN, LAKESIDE, AZ 85929-6204
(928) 368-5490
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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