Provider Demographics
NPI:1326367087
Name:SCHNELL, HEATHER (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:SCHNELL
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2815 34TH ST
Mailing Address - Street 2:APT 1I
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-5074
Mailing Address - Country:US
Mailing Address - Phone:914-525-0492
Mailing Address - Fax:
Practice Address - Street 1:2815 34TH ST
Practice Address - Street 2:APT 1I
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-5074
Practice Address - Country:US
Practice Address - Phone:914-525-0492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-20
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019996235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist