MEDICARE: MISS HEATHER ANN LOMEN M.S., 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	SP-2256	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12152811	OTHER	ID	ASHA CERTIFICATE OF CLINICAL COMPETENCE
2	SP-2256	OTHER	NV	NV STATE LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275898520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS HEATHER ANN LOMEN M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	1230 S LOOP RD STE 4
Second Line	:
City	:	PAHRUMP
State	:	NV
Zip	:	89048-4747
Country	:	US
Telephone Number	:	775-513-5747
Fax Number	:	904-417-7021

Provider Business Practice Location Address
First Line	:	1230 S LOOP RD STE 4
Second Line	:
City	:	PAHRUMP
State	:	NV
Zip	:	89048-4747
Country	:	US
Telephone Number	:	208-608-0906
Fax Number	:	904-417-7021

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

Provider Enumeration Date	:	07/11/2012
Last Update Date	:	12/11/2025

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Directions to “ MISS HEATHER ANN LOMEN M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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