MEDICARE: HEATHER BUEHLER MS, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SP - 942	NV

General Provider Information

NPI Number	:	1437304052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER BUEHLER MS, CCC-SLP

Provider Business Mailing Address
First Line	:	9953 MADISON WALK AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-3770
Country	:	US
Telephone Number	:	702-445-3107
Fax Number	:	888-629-3621

Provider Business Practice Location Address
First Line	:	9953 MADISON WALK AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-3770
Country	:	US
Telephone Number	:	702-445-3107
Fax Number	:	888-629-3621

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/24/2008
Last Update Date	:	11/24/2008

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Directions to “ HEATHER BUEHLER MS, CCC-SLP” Practice Location

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