Provider Demographics
NPI:1710111497
Name:LAPLANTE, HEATHER L (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:L
Last Name:LAPLANTE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 ESSEX ST
Mailing Address - Street 2:#1
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-4001
Mailing Address - Country:US
Mailing Address - Phone:207-992-9111
Mailing Address - Fax:
Practice Address - Street 1:259 ESSEX ST
Practice Address - Street 2:#1
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-4001
Practice Address - Country:US
Practice Address - Phone:207-992-9111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP1807235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist