Provider Demographics
NPI:1962761601
Name:VAN STONE, HEATHER (AUD)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:
Last Name:VAN STONE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 5TH ST NE STE 2
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56345-2732
Mailing Address - Country:US
Mailing Address - Phone:320-616-6850
Mailing Address - Fax:320-414-0395
Practice Address - Street 1:109 5TH ST NE STE 2
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56345
Practice Address - Country:US
Practice Address - Phone:320-616-6850
Practice Address - Fax:320-414-0395
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8930231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist