Provider Demographics
NPI:1720392178
Name:POHLAND, HEATHER NICKOLE (MS, CF-SLP)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:NICKOLE
Last Name:POHLAND
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8564 LAKE CLEARWATER LN
Mailing Address - Street 2:#736
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-7733
Mailing Address - Country:US
Mailing Address - Phone:317-946-1879
Mailing Address - Fax:
Practice Address - Street 1:8564 LAKE CLEARWATER LN
Practice Address - Street 2:#736
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-7733
Practice Address - Country:US
Practice Address - Phone:317-946-1879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist