Provider Demographics
NPI:1639487937
Name:SLAGER, HEIDI KATHERINE (AUD)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:KATHERINE
Last Name:SLAGER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:KATHERINE
Other - Last Name:BRAMBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3621 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-1633
Mailing Address - Country:US
Mailing Address - Phone:734-647-5299
Mailing Address - Fax:
Practice Address - Street 1:475 MARKET PL
Practice Address - Street 2:BUILDING 1, SUITE A
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-1649
Practice Address - Country:US
Practice Address - Phone:734-998-8119
Practice Address - Fax:734-998-8122
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000565231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist