National Provider Identifier

Heather Lange, M.A, M.S, CCC-SLP

Heather Lange, M.A, M.S, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 201-6568.

NPI 1871036491Rochester, NYSpeech-Language Pathologist

Profile Overview

NPI
1871036491
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
November 30, 2016
Last Updated
November 30, 2016

Practice Location

  • 4 Saddleback Trl
  • Rochester, NY 14624-3918

Phone: (585) 201-6568

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1871036491
Entity Type
Individual
Last Name
Lange
First Name
Heather
Name Prefix
Mrs.
Credential
M.A, M.S, CCC-SLP
Mailing Street Address
4 Saddleback Trl
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-3918
Mailing Country
US
Mailing Phone
(585) 201-6568
Practice Street Address
4 Saddleback Trl
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-3918
Practice Country
US
Practice Phone
(585) 201-6568
Enumeration Date
November 30, 2016
Last Updated
November 30, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)