Provider Demographics
NPI:1023260270
Name:HEMLEPP, HEIDI SIMPSON
Entity type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:SIMPSON
Last Name:HEMLEPP
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 1:116 GRANGER LN
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383-1887
Mailing Address - Country:US
Mailing Address - Phone:859-361-3765
Mailing Address - Fax:859-201-1179
Practice Address - Street 1:116 GRANGER LN
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:KY
Practice Address - Zip Code:40383-1887
Practice Address - Country:US
Practice Address - Phone:859-361-3765
Practice Address - Fax:859-201-1179
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY81754222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist