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NPI Code Detail

MEDICARE: HEATHER R KOSAREK M.S. CCC-SLP

MEDICARE: HEATHER R KOSAREK 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
1235Z00000XSpeech-Language PathologistSL009078PA
2235Z00000XSpeech-Language PathologistSLP-1325WV

General Provider Information

NPI Number : 1811021413
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER R KOSAREK M.S. CCC-SLP
Provider Business Mailing Address
First Line : 22 WILLOW TREE WAY
Second Line :
City : CHARLESTON
State : WV
Zip : 25314-9760
Country : US
Telephone Number : 814-441-1134
Fax Number :
Provider Business Practice Location Address
First Line : 2149 GREENBRIER ST
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-9623
Country : US
Telephone Number : 304-344-4268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 07/25/2023

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Directions to “ HEATHER R KOSAREK M.S. CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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