Provider Demographics
NPI:1235684614
Name:WESSELER, HEATHER ANN (MS)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:ANN
Last Name:WESSELER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18047 W CATAWBA AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-5664
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18047 W CATAWBA AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-5664
Practice Address - Country:US
Practice Address - Phone:704-896-8688
Practice Address - Fax:704-896-7975
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist