Provider Demographics
NPI:1629142153
Name:STRONG, HEIDI JEAN JOSENIA (AUD)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:JEAN JOSENIA
Last Name:STRONG
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:J
Other - Last Name:ERICKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:2003 KOOTENAI HEALTH WAY
Mailing Address - Street 2:
Mailing Address - City:COEUR D'ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814
Mailing Address - Country:US
Mailing Address - Phone:208-765-1345
Mailing Address - Fax:208-667-9622
Practice Address - Street 1:700 IRONWOOD DR.
Practice Address - Street 2:#236
Practice Address - City:COEUR D'ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814
Practice Address - Country:US
Practice Address - Phone:208-765-1345
Practice Address - Fax:208-667-9622
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist