Provider Demographics
NPI:1568506392
Name:HEILMANN, LISBETH CATHERINE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LISBETH
Middle Name:CATHERINE
Last Name:HEILMANN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 751069
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1069
Mailing Address - Country:US
Mailing Address - Phone:252-744-3253
Mailing Address - Fax:252-744-3194
Practice Address - Street 1:600 MOYE BLVD HEALTH SCIENCES BLDG ROOM 1310
Practice Address - Street 2:ECU SPEECH LANGUAGE & HEARING CLINIC
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27850-4353
Practice Address - Country:US
Practice Address - Phone:252-744-3253
Practice Address - Fax:252-744-3194
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7257235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist