Stacy Heatwole, M.A. CCC/SLP

NPI #1891118600 in Chardon, Ohio

Provider Information

NPI Number
1891118600
Entity Type
Individual
Name
Stacy Heatwole, M.A. CCC/SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.A. CCC/SLP
Enumeration Date
Jan 30, 2014
Last Updated
Jan 30, 2014

Practice Location

Address
470 CENTER ST
Address 2
BLDG. 2
State
Ohio
ZIP Code
44024-1098
Phone
(440) 279-1700

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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