Healthcare Provider Details

I. General information

NPI: 1073446951
Provider Name (Legal Business Name): HEIDI TUTT SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25136 HANCOCK AVE STE D
MURRIETA CA
92562-0905
US

IV. Provider business mailing address

14280 CASCADE XING
POWAY CA
92064-6623
US

V. Phone/Fax

Practice location:
  • Phone: 951-696-7474
  • Fax: 951-696-7575
Mailing address:
  • Phone: 858-395-8269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: