Individual
MS. HEATHER ISMAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
238 BALD EAGLE DR, RICHMOND HILL, GA 31324-3417
(850) 206-3740
Mailing address
3801 US HWY 17, STE 500 PMB 1041, RICHMOND HILL,, GA 31324
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
13838336-4102
UT
235Z00000X
Speech-Language Pathologist
18260
OR
235Z00000X
Speech-Language Pathologist
27521
CA
235Z00000X
Speech-Language Pathologist
SA22645
FL
235Z00000X
Speech-Language Pathologist
Primary
SLP011132
GA
Other
Enumeration date
10/29/2017
Last updated
10/09/2024
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