MEDICARE: MRS. HEATHER LYNN LAWLER MS, CCC-SLP

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	015827	NY

General Provider Information

NPI Number	:	1265677223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEATHER LYNN LAWLER MS, CCC-SLP

Provider Business Mailing Address
First Line	:	134 HENSHAW AVE
Second Line	:
City	:	SPRINGFIELD
State	:	NJ
Zip	:	07081-2210
Country	:	US
Telephone Number	:	973-610-3654
Fax Number	:

Provider Business Practice Location Address
First Line	:	134 HENSHAW AVE
Second Line	:
City	:	SPRINGFIELD
State	:	NJ
Zip	:	07081-2210
Country	:	US
Telephone Number	:	973-610-3654
Fax Number	:

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

Provider Enumeration Date	:	12/04/2008
Last Update Date	:	07/13/2012

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