MEDICARE: JESSICA HECKEL

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	12084352	WI

General Provider Information

NPI Number	:	1306789532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA HECKEL

Provider Business Mailing Address
First Line	:	5435 GREENVIEW LN
Second Line	:
City	:	STEVENS POINT
State	:	WI
Zip	:	54482-9423
Country	:	US
Telephone Number	:	715-340-5529
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 N POINT DR
Second Line	:
City	:	STEVENS POINT
State	:	WI
Zip	:	54481-1114
Country	:	US
Telephone Number	:	715-345-5400
Fax Number	:

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

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “ JESSICA HECKEL ” Practice Location

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