Christina K Heinemann, MA CCCSLP
Individual provider Active NPI Speech-Language Pathologist · Tombstone, AZ
NPI 1962501767 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962501767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP1558 (AZ)
- Practice address
- 805 E Freemont
Tombstone Unified School District #1
Tombstone, AZ 85638 - Phone
- (520) 457-2217
- Fax
- (520) 457-3270
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP1558 | AZ | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP1558 | AZ | Yes |
Addresses
Primary practice location
805 E Freemont
Tombstone Unified School District #1
Tombstone, AZ 85638
Mailing address
PO Box 610
Hereford, AZ 85615
Phone (520) 940-3233
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 752510 | Medicaid | AZ |
Other providers in Tombstone, AZ
- Kristine Lynn Albrecht
- Amy Elizabeth Bates
- Bisbee Hospital Association
- Ann Marie Bryan
- Dwayne Allen Kruse
- Sharon Ileen Milligan
- RCHP-Sierra Vista Inc
- Jonathan Adin Sinnott
- Iris H Surette
All providers in Tombstone, AZ · Speech-Language Pathologist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.