HEATHER ANN RANDOLPH

ST AUGUSTINE, FL
NPI1275898520
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NV  SP-2256)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: CA  21575)
235Z00000X Speech-Language Pathologist,
(Licence: FL  SA20055)
Enumeration Date2012-07-11
Last Update Date2023-01-19
Business Address
Miss HEATHER ANN RANDOLPH M.S., CCC-SLP
131 TREE FROG WAY
ST AUGUSTINE, FL 32095-7523
Phone number: 208-608-0906
Mailing Address
Miss HEATHER ANN RANDOLPH M.S., CCC-SLP
131 TREE FROG WAY
ST AUGUSTINE, FL 32095-7523
Phone number: 208-608-0906