Provider Demographics
NPI:1437328077
Name:SHAHEEN, HEIDI ANN (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:ANN
Last Name:SHAHEEN
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 37TH ST NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709-2372
Mailing Address - Country:US
Mailing Address - Phone:330-493-9987
Mailing Address - Fax:330-493-9527
Practice Address - Street 1:1815 37TH ST NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-2372
Practice Address - Country:US
Practice Address - Phone:330-493-9987
Practice Address - Fax:330-493-9527
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP 1374235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist