Provider Demographics
NPI:1427374701
Name:MORELAND, HEIDI LIEFER (MS, CCC-SLP, BRS-CLC)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:LIEFER
Last Name:MORELAND
Suffix:
Gender:F
Credentials:MS, CCC-SLP, BRS-CLC
Other - Prefix:MISS
Other - First Name:HEIDI
Other - Middle Name:SUE
Other - Last Name:LIEFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP, BRS-CLC
Mailing Address - Street 1:8 COLLIER RD NW
Mailing Address - Street 2:#A3
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1715
Mailing Address - Country:US
Mailing Address - Phone:404-664-4003
Mailing Address - Fax:
Practice Address - Street 1:8 COLLIER RD NW
Practice Address - Street 2:#A3
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1715
Practice Address - Country:US
Practice Address - Phone:404-664-4003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-12
Last Update Date:2013-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP004482235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist