Provider Demographics
NPI:1912932419
Name:HEFFEL, DENISE LYNN (SLP)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:LYNN
Last Name:HEFFEL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15020 CARLISLE DR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35803-3697
Mailing Address - Country:US
Mailing Address - Phone:256-650-0235
Mailing Address - Fax:
Practice Address - Street 1:15020 CARLISLE DR SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35803-3697
Practice Address - Country:US
Practice Address - Phone:256-694-0427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1083235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist