Individual
MRS. HEATHER L O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
W6737 KIESLING RD, JEFFERSON, WI 53549-9609
(920) 222-9506
Mailing address
W6737 KIESLING RD, JEFFERSON, WI 53549-9609
(920) 222-9506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3642-154
WI
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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