Heather Marie Boeckeler, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Merrick, NY
NPI 1336374644 · NPPES record last updated Oct 4, 2023
Key facts
- NPI
- 1336374644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 017484-1 (NY)
- Practice address
- 122 Shoreham Way
Merrick, NY 11566-5029 - Phone
- (516) 434-1437
- NPI assigned
- May 16, 2009
- 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)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017484-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 017484-1 | NY | Yes |
Addresses
Primary practice location
122 Shoreham Way
Merrick, NY 11566-5029
Mailing address
122 Shoreham Way
Merrick, NY 11566-5029
Phone (516) 434-1437
Other providers in Merrick, NY
- Scott Birdie
- Rona J Birnbaum
- Vadewatie Bisnath
- Carol Ross Blum
- Jessica Boado
- Juliane Bombara
- Jean Marie Bondi
- Sandra Paur Bono
- Therese Bordas
- Norma T Borten
All providers in Merrick, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2023. 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.