Provider Demographics
NPI:1104270875
Name:MEYER, HEATHER CLAUDETTE (BS-HIS)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:CLAUDETTE
Last Name:MEYER
Suffix:
Gender:F
Credentials:BS-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 DOGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WERNERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19565-9458
Mailing Address - Country:US
Mailing Address - Phone:570-242-6158
Mailing Address - Fax:
Practice Address - Street 1:50 BERKSHIRE CT STE 250
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610
Practice Address - Country:US
Practice Address - Phone:610-373-4327
Practice Address - Fax:570-622-3335
Is Sole Proprietor?:No
Enumeration Date:2016-04-19
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF03523237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist