Creveling, Channing Heavenor
Creveling, Channing Heavenor is an sole proprietor health care provider with primary practice located at 2400 S Highway 27 Ste B201 , Clermont FL 34711-6816. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Creveling, Channing Heavenor can be contacted via phone (352) 394-0212.Contact Information
Primary practice address
2400 S Highway 27 Ste B201
Clermont FL 34711-6816
Phone: (352) 394-0212
Fax: (352) 241-6361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA12781 | Florida |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 6881 | North Carolina |
Profile Details
| NPI number | 1700805686 |
|---|---|
| LBN Legal business name | Creveling, Channing Heavenor |
| Credentials | MA CCC-SLP LLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Oct 10th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700805686 | NPPES |
| North Carolina | MEDICAID | 7412500 | |
| North Carolina | MEDICAID | 104167600 |
Popular Providers
-
Krurnowski, Maureen
9954 Lenox St , Clermont FL 34711-9111 -
Polleri, Karmarie
15840 Sausalito Cir , Clermont FL 34711-9687 -
Ramirez Agosto, Caridad M.
1290 N Ridge Blvd Apt 612 , Clermont FL 34711-2871 -
Badarni, Carole Jean
10501 N Crescent Ln , Clermont FL 34711-8681 -
Stuckey, Shannon
2400 S Hwy 27 , Clermont FL 34711-6816 -
D'Angelo, Andrea Marie
11830 Graces Way , Clermont FL 34711-6313 -
Martin, Adam Matthew
835 7Th St Ste 7 , Clermont FL 34711-2190 -
Ruiz, Alice Giselle
245 Citrus Tower Blvd Ste 204 , Clermont FL 34711-1907