National Provider Identifier
Lisa Potter Heine, MS., CCC-SLP
Lisa Potter Heine, MS., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Hamburg, NY and a listed phone number of (716) 926-1720.
Profile Overview
- NPI
- 1255618807
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- November 10, 2011
- Last Updated
- November 10, 2011
Practice Location
- 4432 Bay View RD
- Hamburg, NY 14075-1335
Phone: (716) 926-1720
Mailing Address
- 29 Sherwood Ave
- Hamburg, NY 14075-5205
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1255618807
- Entity Type
- Individual
- Last Name
- Heine
- First Name
- Lisa
- Middle Name
- Potter
- Name Prefix
- MS.
- Credential
- MS., CCC-SLP
- Mailing Street Address
- 29 Sherwood Ave
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-5205
- Mailing Country
- US
- Practice Street Address
- 4432 Bay View RD
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075-1335
- Practice Country
- US
- Practice Phone
- (716) 926-1720
- Enumeration Date
- November 10, 2011
- Last Updated
- November 10, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)
- Other Identifiers
- 01390945 (NY)