Provider Demographics
NPI:1013648450
Name:HEINLEIN, CLAIRE (AUD)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:HEINLEIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11420 BEE CAVES RD STE B100
Mailing Address - Street 2:
Mailing Address - City:BEE CAVES
Mailing Address - State:TX
Mailing Address - Zip Code:78738-5529
Mailing Address - Country:US
Mailing Address - Phone:512-284-8541
Mailing Address - Fax:
Practice Address - Street 1:11420 BEE CAVES RD STE B100
Practice Address - Street 2:
Practice Address - City:BEE CAVES
Practice Address - State:TX
Practice Address - Zip Code:78738-5529
Practice Address - Country:US
Practice Address - Phone:512-284-8541
Practice Address - Fax:512-284-8589
Is Sole Proprietor?:No
Enumeration Date:2022-06-17
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81417237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2Q4763Medicaid