National Provider Identifier

Kelly A Heizmann, MS CCC-SLP/L

Kelly A Heizmann, MS CCC-SLP/L is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 889-4823.

NPI 1225321870Rochester, NYSpeech-Language Pathologist

Profile Overview

NPI
1225321870
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
May 16, 2011
Last Updated
May 16, 2011

Practice Location

  • 117 Stover RD
  • Rochester, NY 14624-4451

Phone: (585) 889-4823

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1225321870
Entity Type
Individual
Last Name
Heizmann
First Name
Kelly
Middle Name
A
Name Prefix
Mrs.
Credential
MS CCC-SLP/L
Mailing Street Address
117 Stover RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-4451
Mailing Country
US
Mailing Phone
(585) 889-4823
Practice Street Address
117 Stover RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-4451
Practice Country
US
Practice Phone
(585) 889-4823
Enumeration Date
May 16, 2011
Last Updated
May 16, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)