Individual
MRS. JENNIFER HEISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SP
Contact information
Practice address
801 5TH AVE SE, DEVILS LAKE, ND 58301-3649
(701) 662-7690
(701) 662-7684
Mailing address
801 5TH AVE SE, DEVILS LAKE, ND 58301-3649
(701) 662-7690
(701) 662-7684
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
464
ND
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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