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Individual

NORMA J HEYDON-WRATHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHS,CCC,SLP

Contact information

Practice address
6500 THAYER CTR, OAKLAND, MD 21550-1116
(301) 334-1863
Mailing address
1606 FREDERICK ST, CUMBERLAND, MD 21502-1036
(301) 722-6073

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03475
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00016
FEDERAL BCBS
MD
01
0007442784
AETNA
MD
01
1069064
WV WORKERS COMPENSATION
WV
05
3810004195
WV
01
61998505
CAREFIRST BCBS
MD
01
7946744
CIGNA
MD
Enumeration date
10/18/2006
Last updated
07/09/2007
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