Provider Demographics
NPI:1124274535
Name:LUCAS, HEATHER HUNTINGTON (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:HUNTINGTON
Last Name:LUCAS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7403 HONEYWELL LN
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-1019
Mailing Address - Country:US
Mailing Address - Phone:301-980-5556
Mailing Address - Fax:301-907-9473
Practice Address - Street 1:7403 HONEYWELL LN
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-1019
Practice Address - Country:US
Practice Address - Phone:301-980-5556
Practice Address - Fax:301-907-9473
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05754235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist