Healthcare Provider Details

I. General information

NPI: 1538363791
Provider Name (Legal Business Name): HEATHER MCCASLIN AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1226 S WISNER ST
JACKSON MI
49203-2864
US

IV. Provider business mailing address

1226 S WISNER ST
JACKSON MI
49203-2864
US

V. Phone/Fax

Practice location:
  • Phone: 517-867-5913
  • Fax:
Mailing address:
  • Phone: 517-867-5913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1601001059
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number10010
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1369
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: