Provider Demographics
NPI:1063650737
Name:HONEYCUTT, HEATHER SAULS (MS,CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:SAULS
Last Name:HONEYCUTT
Suffix:
Gender:F
Credentials:MS,CCC-A
Other - Prefix:MRS
Other - First Name:KATHERINE
Other - Middle Name:HEATHER
Other - Last Name:HONEYCUTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,CCC-A
Mailing Address - Street 1:2053 VALLEYGATE DRIVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-3688
Mailing Address - Country:US
Mailing Address - Phone:910-323-9222
Mailing Address - Fax:910-221-9220
Practice Address - Street 1:2053 VALLEYGATE DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3688
Practice Address - Country:US
Practice Address - Phone:910-323-9222
Practice Address - Fax:910-221-9220
Is Sole Proprietor?:No
Enumeration Date:2009-02-03
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6124231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist