MEDICARE: HEATHER ARESHENKO MS, CCC-SLP, CAS

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1003283292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER ARESHENKO MS, CCC-SLP, CAS

Provider Business Mailing Address
First Line	:	PO BOX 33424
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89533-3424
Country	:	US
Telephone Number	:	949-836-6717
Fax Number	:

Provider Business Practice Location Address
First Line	:	137 MOUNT ROSE STREET
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-3419
Country	:	US
Telephone Number	:	775-235-2263
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2015
Last Update Date	:	01/13/2023

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