Provider Demographics
NPI:1275864597
Name:HEINDSELMAN, JULIE BETH (MED CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:BETH
Last Name:HEINDSELMAN
Suffix:
Gender:F
Credentials:MED CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2304 EMBER WOODS DR
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76262-8824
Mailing Address - Country:US
Mailing Address - Phone:817-337-5548
Mailing Address - Fax:
Practice Address - Street 1:2304 EMBER WOODS DR
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76262-8824
Practice Address - Country:US
Practice Address - Phone:817-337-5548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-26
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104901235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist