Provider Demographics
NPI:1457308439
Name:HEDDING, JANINE (HIS)
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:
Last Name:HEDDING
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:JANINE
Other - Middle Name:
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:111 SALAZAR LN
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-7011
Mailing Address - Country:US
Mailing Address - Phone:772-571-3331
Mailing Address - Fax:772-778-7838
Practice Address - Street 1:5445 20TH ST
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32966-2241
Practice Address - Country:US
Practice Address - Phone:772-774-8208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4094237700000X
NY14000015853237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist