Provider Demographics
NPI:1750750444
Name:SMITH, HEATHER APPELBAUM (MS;CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:APPELBAUM
Last Name:SMITH
Suffix:
Gender:F
Credentials:MS;CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:937 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3115
Mailing Address - Country:US
Mailing Address - Phone:717-468-4722
Mailing Address - Fax:
Practice Address - Street 1:937 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3115
Practice Address - Country:US
Practice Address - Phone:717-368-4722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-23
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL009902235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist