Sharon Lynn Heidler, M.S.

Individual provider Active NPI Speech-Language Pathologist · Walhalla, ND

NPI 1558652404 · NPPES record last updated Apr 27, 2011

Key facts

NPI
1558652404
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
1115 (ND)
Practice address
9715 129TH Ave NE
Walhalla, ND 58282-9731
Phone
(701) 549-3283
NPI assigned
Apr 27, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Wellness Services, LLC Speech-Language Pathologist Past
since Jul 24, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1115 ND Yes

Addresses

Primary practice location

9715 129TH Ave NE
Walhalla, ND 58282-9731

Mailing address

9715 129TH Ave NE
Walhalla, ND 58282-9731
Phone (701) 549-3283

Other providers in Walhalla, ND

All providers in Walhalla, ND · Speech-Language Pathologist in North Dakota

Sources for this page

Verify at the official NPI Registry.