Provider Demographics
NPI:1407291834
Name:ALBRIGHT, HEATHER NOELLE
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:NOELLE
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 MAETHY ST SE
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49548-1222
Mailing Address - Country:US
Mailing Address - Phone:616-366-7309
Mailing Address - Fax:
Practice Address - Street 1:520 MAETHY ST SE
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49548-1222
Practice Address - Country:US
Practice Address - Phone:616-366-7309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist