Individual
AUTUMN LEIGH HESEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP/INTERN
Contact information
Practice address
1628 19TH ST, LUBBOCK, TX 79401-4832
(806) 766-1172
(806) 786-1286
Mailing address
1628 19TH ST, LUBBOCK, TX 79401-4832
(806) 766-1172
(806) 786-1286
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103387
TX
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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