| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MOLLY LEEANN HEINEN | 1689357584 | 2023-08-13 |
Molly Leeann Heinen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689357584. Registration indicates Molly Leeann Heinen is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Specialist/Technologist (Specialist/Technologist: Speech-Language Assistant, ) (Specialist/Technologist Speech-Language Assistant, Speech, Language and Hearing Service Providers) (Specialist/Technologist, )
| Entity Type | Individual |
| Provider Name | Molly Leeann Heinen |
| Practice Office Address | 1421 LAWRENCE DR WACO, TX US |
| Practice Office Telephone | 2108371168 |
| Mailing Address | 1421 LAWRENCE DR WACO, TX 767104845 US |
| Business Telephone | 2108371168 |
| Code | Practice | License No State |
|---|---|---|
| 2355S0801X PRIMARY | Speech, Language and Hearing Service Providers Specialist/Technologist Specialist/Technologist: Speech-Language Assistant Specialist/Technologist Speech-Language Assistant Speech, Language and Hearing Service Providers Specialist/Technologist | 43287
TX |