Healthcare Provider Details

I. General information

NPI: 1841114568
Provider Name (Legal Business Name): HEATHER ANN DEVOE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

497 HUMBOLDT AVE
SAINT PAUL MN
55107-2866
US

IV. Provider business mailing address

627 SPRING ST
RIVER FALLS WI
54022-2655
US

V. Phone/Fax

Practice location:
  • Phone: 651-615-6888
  • Fax:
Mailing address:
  • Phone: 646-283-7655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: