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Kristin Anne Heithold, SLP

Speech-Language Pathologist, in Navarre, FL. Individual provider (NPI-1).

NPI number1962059451
StatusActive
Last updated in NPPESMay 6, 2021

Details

NPI
1962059451
Entity type
Individual (NPI-1)
Name
Kristin Anne Heithold
Credential
SLP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 20, 2019
Certification date
May 6, 2021
Last updated
May 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SA19022FLYes
235Z00000X Speech-Language Pathologist,SZ9173FL

Practice location

1762 Sea Lark Ln
Navarre, FL 32566-7406

Phone 850-204-8030

Mailing address

1762 Sea Lark Ln
Navarre, FL 32566-7406

Phone 850-204-8030

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