Provider Demographics
NPI:1891188686
Name:MAGEE, HEATHER M (BC-HIS)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:M
Last Name:MAGEE
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 PASADENA AVE S
Mailing Address - Street 2:STE E-2
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:FL
Mailing Address - Zip Code:33707-2878
Mailing Address - Country:US
Mailing Address - Phone:727-347-2938
Mailing Address - Fax:
Practice Address - Street 1:1155 PASADENA AVE S
Practice Address - Street 2:STE E-2
Practice Address - City:SOUTH PASADENA
Practice Address - State:FL
Practice Address - Zip Code:33707-2878
Practice Address - Country:US
Practice Address - Phone:727-347-2938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-18
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS-4602237700000X
FL7460237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist