Heckstall, Marisa Elisabet
Heckstall, Marisa Elisabet is an sole proprietor health care provider with primary practice located at 1300 Coral Way Suite 207, Miami FL 33145-2934. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Assistant, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Heckstall, Marisa Elisabet can be contacted via phone (305) 854-7244.Contact Information
Primary practice address
1300 Coral Way Suite 207
Miami FL 33145-2934
Phone: (305) 854-7244
Fax: (786) 375-5544
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | SI1037 | Florida |
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SZ11439 | Florida |
Profile Details
NPI number | 1811362049 |
---|---|
LBN Legal business name | Heckstall, Marisa Elisabet |
Credentials | SLPA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 14th, 2015 |
Last updated | Sep 28th, 2023 - about last year |
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 | 1811362049 | NPPES |
Florida | MEDICAID | 119299500 |
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