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NPI Code Detail

MEDICARE: ABIGAIL HEITZENRATER M.S. CCC-SLP

MEDICARE: ABIGAIL HEITZENRATER M.S. 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
1235Z00000XSpeech-Language Pathologist122497TX
2235Z00000XSpeech-Language Pathologist09115MD

General Provider Information

NPI Number : 1932751476
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL HEITZENRATER M.S. CCC-SLP
Provider Business Mailing Address
First Line : 8434 STAR CREEK DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78251-2331
Country : US
Telephone Number : 716-534-4543
Fax Number :
Provider Business Practice Location Address
First Line : 13313 OLD COLUMBIA PIKE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-5233
Country : US
Telephone Number : 716-534-4543
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2019
Last Update Date : 01/29/2025

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