Individual
MS. CHRISTINA K HEINEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCSLP
Contact information
Practice address
805 E FREEMONT, TOMBSTONE UNIFIED SCHOOL DISTRICT #1, TOMBSTONE, AZ 85638
(520) 457-2217
(520) 457-3270
Mailing address
PO BOX 610, HEREFORD, AZ 85615
(520) 940-3233
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1558
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
752510
—
AZ
Enumeration date
09/21/2006
Last updated
07/08/2007
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