Individual
JENNIFER MARIE HEINISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1 LUCINDA AVE., NIU SPEECH-LANGUAGE HEARING CLINIC, DEKALB, IL 60115-2899
(815) 753-1481
(815) 753-1664
Mailing address
8800 S ROOD RD, KINGSTON, IL 60145-8288
(815) 784-5733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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