Provider Demographics
NPI:1124407184
Name:THOMAS-MORALES, HEATHER DANIELA (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:DANIELA
Last Name:THOMAS-MORALES
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Gender:F
Credentials:MS CCC-SLP
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Mailing Address - Street 1:1500 OCEAN PKWY
Mailing Address - Street 2:APT 1F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6456
Mailing Address - Country:US
Mailing Address - Phone:347-524-1570
Mailing Address - Fax:718-645-1403
Practice Address - Street 1:1500 OCEAN PKWY
Practice Address - Street 2:APT 1F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6456
Practice Address - Country:US
Practice Address - Phone:347-524-1570
Practice Address - Fax:718-645-1403
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-23
Last Update Date:2021-02-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY024892235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist