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NPI Code Detail

MEDICARE: MISS LAURA A HEYDEN CCC-SLP

MEDICARE:  MISS LAURA A HEYDEN  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
1235Z00000XSpeech-Language Pathologist14436CA

General Provider Information

NPI Number : 1295048064
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LAURA A HEYDEN CCC-SLP
Provider Business Mailing Address
First Line : 343 LARKIN ST
Second Line : APT 3
City : MONTEREY
State : CA
Zip : 93940-2357
Country : US
Telephone Number : 619-948-7817
Fax Number :
Provider Business Practice Location Address
First Line : 700 PACIFIC ST
Second Line :
City : MONTEREY
State : CA
Zip : 93940-2815
Country : US
Telephone Number : 831-645-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2010
Last Update Date : 07/21/2010

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Directions to “ MISS LAURA A HEYDEN CCC-SLP” Practice Location

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