Provider Demographics
NPI:1497370910
Name:HECKER, CAROLINE (SLP)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:HECKER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-1809
Mailing Address - Country:US
Mailing Address - Phone:513-375-6087
Mailing Address - Fax:
Practice Address - Street 1:208 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-1809
Practice Address - Country:US
Practice Address - Phone:513-375-6087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist