Individual
HEATHER THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
18360 CALDART AVE NE, POULSBO, WA 98370-8775
(360) 396-3000
Mailing address
285 S SAN ANTONIO AVE, UPLAND, CA 91786-6413
(909) 257-8563
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
33523
CA
235Z00000X
Speech-Language Pathologist
LL61521987
WA
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
08/22/2024
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