Individual
HEATHER ANNE DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 VALLEY ST, PRESCOTT, AZ 86305-1826
(928) 445-1309
Mailing address
2250 W LIVE OAK DR, PRESCOTT, AZ 86305-7737
(909) 938-1195
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
518
SLPA
CA
Enumeration date
08/08/2017
Last updated
08/08/2017
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