Margaret Ellen Heavilon, MA
Individual provider Active NPI Speech-Language Pathologist · Ruckersville, VA
NPI 1063988640 · NPPES record last updated Oct 22, 2018
Key facts
- NPI
- 1063988640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 69 Deane Rd
Ruckersville, VA 22968-3482 - Phone
- (434) 481-3521
- Fax
- (434) 481-3628
- NPI assigned
- Oct 22, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melanie E. Canada | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
69 Deane Rd
Ruckersville, VA 22968-3482
Mailing address
69 Deane Rd
Ruckersville, VA 22968-3482
Phone (434) 481-3521
Other names
- Molly Heavilon
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All providers in Ruckersville, VA · Speech-Language Pathologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.