Provider Demographics
NPI:1518292978
Name:HEATH, DANA C (MS)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:C
Last Name:HEATH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:DANA
Other - Middle Name:ANNE
Other - Last Name:COWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:3460 CURITIBA CT
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1454
Mailing Address - Country:US
Mailing Address - Phone:770-587-3523
Mailing Address - Fax:
Practice Address - Street 1:3460 CURITIBA CT
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1454
Practice Address - Country:US
Practice Address - Phone:770-587-3523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3233231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist