HEIDI JOHANNSEN

MATHER, CA
NPI1710333463
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  21531)
Enumeration Date2016-05-12
Last Update Date2016-05-12
Business Address
-- HEIDI JOHANNSEN MS, CCC-SLP
10535 HOSPITAL WAY 126-S
MATHER, CA 95655-4200
Phone number: 916-843-7552
Mailing Address
-- HEIDI JOHANNSEN MS, CCC-SLP
1108 G ST # 1/2
SACRAMENTO, CA 95814-0825
Phone number: 310-872-4625