Individual
MS. DANA HEINOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
62 WOODSIDE AVE, HAWTHORNE, NJ 07506-2235
(551) 404-3020
Mailing address
62 WOODSIDE AVE, HAWTHORNE, NJ 07506-2235
(551) 404-3020
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00882300
NJ
Other
Enumeration date
07/08/2018
Last updated
03/12/2022
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