National Provider Identifier

Heather L B Davidson, M.S

Heather L B Davidson, M.S is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 697-1557.

NPI 1922253798Rochester, NYSpeech-Language Pathologist

Profile Overview

NPI
1922253798
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
November 20, 2008
Last Updated
August 29, 2023

Practice Location

  • 175 N Winton RD
  • Rochester, NY 14610-1936

Phone: (585) 697-1557

Mailing Address

  • 17 Hawkes Trl
  • Webster, NY 14580-4210

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1922253798
Entity Type
Individual
Last Name
Davidson
First Name
Heather
Middle Name
L B
Name Prefix
MS.
Credential
M.S
Provider Other Last Name
Berry
Provider Other First Name
Heather
Provider Other Middle Name
Lynn
Provider Other Name Prefix Text
MS.
Provider Other Last Name Type Code
1
Mailing Street Address
17 Hawkes Trl
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-4210
Mailing Country
US
Mailing Phone
(585) 507-7203
Practice Street Address
175 N Winton RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14610-1936
Practice Country
US
Practice Phone
(585) 697-1557
Enumeration Date
November 20, 2008
Last Updated
August 29, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
August 29, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)