Provider Demographics
NPI:1336246388
Name:DEAN, HEATHER LESHEA (AUD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:LESHEA
Last Name:DEAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4270
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89702-4270
Mailing Address - Country:US
Mailing Address - Phone:775-883-7666
Mailing Address - Fax:775-883-0115
Practice Address - Street 1:2874 N CARSON ST
Practice Address - Street 2:#220
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-0177
Practice Address - Country:US
Practice Address - Phone:775-883-7666
Practice Address - Fax:775-883-0115
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA-133231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVA-133OtherAUDIOLOGISTS LICENSE
NV#252OtherHEARING AID SPECIALIST LI