Provider Demographics
NPI:1699260422
Name:HEITZMANN, CHELSEA (AUD)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:HEITZMANN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:
Other - Last Name:LIEB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:750 N COMMONS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-7940
Mailing Address - Country:US
Mailing Address - Phone:630-303-5380
Mailing Address - Fax:630-303-5385
Practice Address - Street 1:5014 EL CAMINO DR STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-2104
Practice Address - Country:US
Practice Address - Phone:719-633-4100
Practice Address - Fax:719-358-5299
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000918231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist