Individual
JODI LYNN HEINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 5 1/2 MILE RD, CALEDONIA, WI 53402-1501
(262) 664-6657
Mailing address
2115 5 1/2 MILE RD, CALEDONIA, WI 53402-1501
(262) 664-6657
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
66631
WI
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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