Individual
BRITTANY HEIDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
100 NE RANDOLPH AVE, PEORIA, IL 61606-1919
(309) 624-8576
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.011214
IL
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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