Provider Demographics
NPI:1033777958
Name:CIRULNICK, HEATHER EMILY (MA, CFY-SLP)
Entity Type:Individual
Prefix:MISS
First Name:HEATHER
Middle Name:EMILY
Last Name:CIRULNICK
Suffix:
Gender:F
Credentials:MA, CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228A TERRELL AVE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-1936
Mailing Address - Country:US
Mailing Address - Phone:347-465-9181
Mailing Address - Fax:516-210-2366
Practice Address - Street 1:228A TERRELL AVE
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-1936
Practice Address - Country:US
Practice Address - Phone:347-465-9181
Practice Address - Fax:516-210-2366
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist