Provider Demographics
NPI:1780080226
Name:HECKLER, CHRISTY (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:
Last Name:HECKLER
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 1:3829 WOODLEY RD BLDG B
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1171
Mailing Address - Country:US
Mailing Address - Phone:419-474-9324
Mailing Address - Fax:419-474-9345
Practice Address - Street 1:3829 WOODLEY RD BLDG B
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1171
Practice Address - Country:US
Practice Address - Phone:419-474-9324
Practice Address - Fax:419-474-9345
Is Sole Proprietor?:No
Enumeration Date:2014-11-11
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP. 9570235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist