Individual
HEIDI DANIELLE BASSANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6900 GEORGIA AVE NW, BLDG 2-6A10, WASHINGTON, DC 20307-0003
(202) 782-6676
Mailing address
1001 ROXBURY RD, RICHMOND, VA 23226-3037
(804) 319-6949
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004755
VA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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