Heather Ann Sydorwicz, M.S. CCC/SLP, BCBA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 8834 Issued in OH

Practice address

806 N Main St
Laconia, NH 03246-2603

Phone

(603) 524-9090

NPI assigned

Sep 20, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boothby Therapy Services, LLC

  • Occupational Therapist
  • Laconia, NH
  • NPI 1770797094
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1114235488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 WHITEHAVEN AVE",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703960",
            "telephone_number": "216-448-6405",
            "fax_number": "216-448-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 N MAIN ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462603",
            "telephone_number": "603-524-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYDORWICZ",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC/SLP, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP 8834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Anna Summers, MA
• Leslie Suranyi, M.D.
• Cardella Ruth Sutcliffe
• Erika L Sutherland
• Michael Richard Swain
• Shumail Syed, MD
• Joyce S Sylvester, OT,CHT
• Robin L Tacker, OTR/L, ATP
• Taner Tan, PHARM.D.
• Adam S Tanzer, MD

• Speech-Language Pathologist in Laconia, NH
• Providers in Laconia, NH by specialty
• Speech-Language Pathologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.