AUTUMN HEINSELMAN

SAN ANTONIO, TX
NPI1336433986
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: TX  106131)
Additional Taxonomies235Z00000X Speech-Language Pathologist
(Licence: SC  4547)
235Z00000X Speech-Language Pathologist
(Licence: NC  9097)
314000000X Skilled Nursing Facility
(Licence: TX  106131)
Enumeration Date2011-05-31
Last Update Date2011-05-31
Business Address
AUTUMN HEINSELMAN MA, CCC-SLP
5437 EISENHAUER RD
SAN ANTONIO, TX 78218-3757
Phone number: 210-646-9576
Mailing Address
AUTUMN HEINSELMAN MA, CCC-SLP
7025 REED CT
BRENTWOOD, TN 37027-7950
Phone number: 904-662-0563