Provider Demographics
NPI:1821306416
Name:HESSBERGER, HEATHER ELAINE
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:ELAINE
Last Name:HESSBERGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 ARMSTRONG PL
Mailing Address - Street 2:
Mailing Address - City:OWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13827-1513
Mailing Address - Country:US
Mailing Address - Phone:607-222-0978
Mailing Address - Fax:
Practice Address - Street 1:999 TAFT AVE
Practice Address - Street 2:
Practice Address - City:ENDICOTT
Practice Address - State:NY
Practice Address - Zip Code:13760-7205
Practice Address - Country:US
Practice Address - Phone:607-757-2143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist