Provider Demographics
NPI:1235338609
Name:SCHILLING, HEIDI NICOLE (MA CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:NICOLE
Last Name:SCHILLING
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:MISS
Other - First Name:HEIDI
Other - Middle Name:NICOLE
Other - Last Name:HEINSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1800 2ND STREET NE
Mailing Address - Street 2:A CHANCE TO GROW INC
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55418
Mailing Address - Country:US
Mailing Address - Phone:612-789-1236
Mailing Address - Fax:612-706-5555
Practice Address - Street 1:1800 2ND STREET NE
Practice Address - Street 2:A CHANCE TO GROW INC
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55418
Practice Address - Country:US
Practice Address - Phone:612-789-1236
Practice Address - Fax:612-706-5555
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8058235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist