Provider Demographics
NPI:1790051449
Name:ROBERTS, HEATHER (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10833 FOX TROT LN
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-7764
Mailing Address - Country:US
Mailing Address - Phone:303-359-4069
Mailing Address - Fax:
Practice Address - Street 1:11863 SPRINGS RD UNIT 260
Practice Address - Street 2:
Practice Address - City:CONIFER
Practice Address - State:CO
Practice Address - Zip Code:80433-7259
Practice Address - Country:US
Practice Address - Phone:303-359-4069
Practice Address - Fax:303-816-2220
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist