Provider Demographics
NPI:1841053725
Name:KLINGAMAN, HEATHER (HAS)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:KLINGAMAN
Suffix:
Gender:
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1946 MR JOE WHITE AVE
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-5624
Mailing Address - Country:US
Mailing Address - Phone:843-448-0008
Mailing Address - Fax:
Practice Address - Street 1:1946 MR JOE WHITE AVE
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-5624
Practice Address - Country:US
Practice Address - Phone:843-448-0008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-02
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCHAS-0720237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist