Provider Demographics
NPI:1386814895
Name:VAN METER, HEATHER LEE (MS CCC SLP)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:LEE
Last Name:VAN METER
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 17TH STREET
Mailing Address - Street 2:PMB472
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1508
Mailing Address - Country:US
Mailing Address - Phone:720-588-2745
Mailing Address - Fax:720-588-2746
Practice Address - Street 1:1312 17TH STREET
Practice Address - Street 2:PMB472
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1508
Practice Address - Country:US
Practice Address - Phone:720-588-2745
Practice Address - Fax:720-588-2746
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2024-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0005840235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist