Provider Demographics
NPI:1497963086
Name:TOWNS, HEATHER EVELYN (MSCCCSLP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:EVELYN
Last Name:TOWNS
Suffix:
Gender:F
Credentials:MSCCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37074-2001
Mailing Address - Country:US
Mailing Address - Phone:615-519-6948
Mailing Address - Fax:
Practice Address - Street 1:6650 EASTGATE BLVD
Practice Address - Street 2:SUITE101
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37090-6017
Practice Address - Country:US
Practice Address - Phone:615-443-4445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNSP 0000003453235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist