Individual
HEATHER KRYSTEN GERACI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1801 BRANTLEY RD APT 2009, FORT MYERS, FL 33907-1906
(239) 544-2289
Mailing address
1801 BRANTLEY RD APT 2009, FORT MYERS, FL 33907-1906
(239) 544-2289
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
021045-1
NY
235Z00000X
Speech-Language Pathologist
Primary
SA17997
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA17997
SPEECH PATHOLOGY LICENSE
FL
Enumeration date
07/01/2011
Last updated
07/31/2026
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