Provider Demographics
NPI:1417757527
Name:SZILARD, HEATHER (HIS)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:SZILARD
Suffix:
Gender:
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3345 MERLIN DR STE 200
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83404-7489
Mailing Address - Country:US
Mailing Address - Phone:208-529-1514
Mailing Address - Fax:208-529-4020
Practice Address - Street 1:3345 MERLIN DR STE 200
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83404-7489
Practice Address - Country:US
Practice Address - Phone:208-529-1514
Practice Address - Fax:208-529-4020
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID6461170237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist