Provider Demographics
NPI:1942368964
Name:WARWICK, HEATHER NEVILLE (MS CCCSLP)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:NEVILLE
Last Name:WARWICK
Suffix:
Gender:F
Credentials:MS CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27115 DOWNING PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1521
Mailing Address - Country:US
Mailing Address - Phone:346-588-2174
Mailing Address - Fax:
Practice Address - Street 1:2401 YALE ST OFC 2
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-2507
Practice Address - Country:US
Practice Address - Phone:346-588-2174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18649235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist