Heather Denae Angstadt, M.A.

Individual provider Active NPI Speech-Language Pathologist · Burlingame, CA

NPI 1922364504 · NPPES record last updated Apr 8, 2012

Key facts

NPI
1922364504
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
17782 (CA)
Practice address
119 Highland Ave Apt F
Burlingame, CA 94010-4368
Phone
(650) 787-1937
NPI assigned
Apr 8, 2012
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 Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 17782 CA Yes

Addresses

Primary practice location

119 Highland Ave Apt F
Burlingame, CA 94010-4368

Mailing address

119 Highland Ave Apt F
Burlingame, CA 94010-4368

Other providers in Burlingame, CA

All providers in Burlingame, CA · Speech-Language Pathologist in California

Sources for this page

Verify at the official NPI Registry.