Individual
MRS. SARA HEISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
377 WESTRIDGE BLVD, GREENWOOD, IN 46142-2137
(317) 888-4948
Mailing address
377 WESTRIDGE BLVD, GREENWOOD, IN 46142-2137
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005436A
IN
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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