Provider Demographics
NPI:1942500863
Name:HEIM THERAPY ASSOCIATES
Entity Type:Organization
Organization Name:HEIM THERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAWNA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:CASE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:716-913-6463
Mailing Address - Street 1:8427 HEIM DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14141
Mailing Address - Country:US
Mailing Address - Phone:716-913-6463
Mailing Address - Fax:716-592-3341
Practice Address - Street 1:8427 HEIM DR
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:14141-9637
Practice Address - Country:US
Practice Address - Phone:716-913-6463
Practice Address - Fax:716-592-3341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01175501252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency