Healthcare Provider Details

I. General information

NPI: 1700711660
Provider Name (Legal Business Name): HEATHER RUTH EGNOR MS/CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HYGEIA DR STE 1100
NEWARK DE
19713-2049
US

IV. Provider business mailing address

4 MICHAEL LN
BEAR DE
19701-2050
US

V. Phone/Fax

Practice location:
  • Phone: 302-623-0100
  • Fax:
Mailing address:
  • Phone: 302-388-6183
  • Fax: 302-388-6183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberO1-0000960
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: