Provider Demographics
NPI:1457320251
Name:SACZYNSKI, HEATHER L (MS, CCC-A)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:L
Last Name:SACZYNSKI
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 BABCOCK ST
Mailing Address - Street 2:UNIT 3
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5914
Mailing Address - Country:US
Mailing Address - Phone:617-505-6266
Mailing Address - Fax:
Practice Address - Street 1:333 LONGWOOD AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5711
Practice Address - Country:US
Practice Address - Phone:617-355-0689
Practice Address - Fax:617-730-0320
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA801231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist