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MRS. LESLIE K HEINEY M.S., CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1164622122

Individual Registrant:
MRS. LESLIE K HEINEY M.S., CCC-SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
30 HUNTER DR  MUNCY, PA 17756-7682 US
Tel: 570-971-0182  Fax: --

Contact information for business:
30 HUNTER DR  MUNCY, PA 17756-7682 US
Tel: 570-971-0182  Fax: --

Registration Information:
NPI: 1164622122
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
PASL006336L

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1019257950001PA05




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