Individual
DOREEN HEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
104 KERRI LN, WAKEFIELD, NE 68784-6040
(402) 369-4472
Mailing address
104 KERRI LN, WAKEFIELD, NE 68784-6040
(402) 369-4472
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12030400 .
NE
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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