Provider Demographics
NPI:1881073120
Name:MCVEY, HEATHER MILES (CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:MILES
Last Name:MCVEY
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 JANICE LN
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-7418
Mailing Address - Country:US
Mailing Address - Phone:606-545-2301
Mailing Address - Fax:
Practice Address - Street 1:106 JANICE LN
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-7418
Practice Address - Country:US
Practice Address - Phone:606-545-2301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2360235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist