Provider Demographics
NPI:1437178712
Name:HERROD BURROWS, HEATHER NICOLE (AUD,CCC-A)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:NICOLE
Last Name:HERROD BURROWS
Suffix:
Gender:F
Credentials:AUD,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 SUMTER ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-3323
Mailing Address - Country:US
Mailing Address - Phone:803-777-2669
Mailing Address - Fax:803-253-4143
Practice Address - Street 1:1224 SUMTER ST
Practice Address - Street 2:SUITE 300
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-3323
Practice Address - Country:US
Practice Address - Phone:803-777-2669
Practice Address - Fax:803-253-4143
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3217231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist