Provider Demographics
NPI:1558667329
Name:CLOWER, HEIDI L (MS/CCC-A)
Entity Type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:L
Last Name:CLOWER
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 1:1805 CONGRESSIONAL BLVD
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-5185
Mailing Address - Country:US
Mailing Address - Phone:843-832-3375
Mailing Address - Fax:
Practice Address - Street 1:900 ISLAND PARK DR
Practice Address - Street 2:
Practice Address - City:DANIEL ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29492-7559
Practice Address - Country:US
Practice Address - Phone:843-971-4199
Practice Address - Fax:843-971-4292
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2314231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist