Provider Demographics
NPI:1154501914
Name:STONE, HEATHER CONNOLLY (MS SLP-CCC)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:CONNOLLY
Last Name:STONE
Suffix:
Gender:F
Credentials:MS SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 FLINT AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:NY
Mailing Address - Zip Code:14001-1325
Mailing Address - Country:US
Mailing Address - Phone:716-860-8857
Mailing Address - Fax:
Practice Address - Street 1:4 FLINT AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:NY
Practice Address - Zip Code:14001-1325
Practice Address - Country:US
Practice Address - Phone:716-860-8857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016983235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist