Provider Demographics
NPI:1891839767
Name:ANSTETT, HEATHER L (SLP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:L
Last Name:ANSTETT
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:L
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:46 CHEMIN DES ILES
Mailing Address - Street 2:
Mailing Address - City:JUAN-LES-PINS
Mailing Address - State:FRANCE
Mailing Address - Zip Code:06160
Mailing Address - Country:FR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:46 CHEMIN DES ILES
Practice Address - Street 2:
Practice Address - City:JUAN-LES-PINS
Practice Address - State:FRANCE
Practice Address - Zip Code:06160
Practice Address - Country:FR
Practice Address - Phone:206-795-2217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00004098235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist