Provider Demographics
NPI:1164702312
Name:SLEEZER, HEATHER ALISON (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:ALISON
Last Name:SLEEZER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6635 WEDGEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-5440
Mailing Address - Country:US
Mailing Address - Phone:630-452-5635
Mailing Address - Fax:
Practice Address - Street 1:6850 31ST ST
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-3058
Practice Address - Country:US
Practice Address - Phone:630-452-5635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242001960235Z00000X
IL146.011452235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist