Provider Demographics
NPI:1275771396
Name:HEIN, LUCY A (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LUCY
Middle Name:A
Last Name:HEIN
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 1:1 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-1337
Mailing Address - Country:US
Mailing Address - Phone:914-588-6547
Mailing Address - Fax:
Practice Address - Street 1:1 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-1337
Practice Address - Country:US
Practice Address - Phone:914-588-6547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018088-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist