Michelle Lynn Heins, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Brookfield, MO

NPI 1235952631 · NPPES record last updated Nov 4, 2024

Key facts

NPI
1235952631
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2014027335 (MO)
Practice address
124A Pershing Rd.
Brookfield, MO 64628
Phone
(660) 258-7443
Fax
(660) 258-4711
NPI assigned
Nov 4, 2024
Sex
Female
Sole proprietor
Yes

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 Science

State licenses

LicenseStateTypeSpecialty
2014027335MOMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X 2014027335 MO Yes

Addresses

Primary practice location

124A Pershing Rd.
Brookfield, MO 64628

Mailing address

124A Pershing Rd.
Brookfield, MO 64628
Phone (660) 258-7443

Other names

  • Miss Michelle Lynn O'Brien Former name

Other providers in Brookfield, MO

All providers in Brookfield, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.