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MS. CHRISTINA K HEINEMANN MA CCCSLP

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

Registrant NPI Number: 1962501767

Individual Registrant:
MS. CHRISTINA K HEINEMANN MA CCCSLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
805 E FREEMONT TOMBSTONE UNIFIED SCHOOL DISTRICT #1 TOMBSTONE, AZ 85638 US
Tel: 520-457-2217  Fax: 520-457-3270

Contact information for business:
PO BOX 610  HEREFORD, AZ 85615 US
Tel: 520-940-3233  Fax: --

Registration Information:
NPI: 1962501767
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
AZSLP1558

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
752510AZ05




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