Active NPIIndividual providerSole proprietor

Shannon A Heil, MS, CCC-SLP

Speech-Language Pathologist, in Ridgewood, New Jersey

NPI Number1043832397
Practice location
304 S Van Dien Ave, Ridgewood, NJ 07450-5200
Fax
—
Last updated
May 9, 2020

Shannon Anne Heil is a Speech-Language Pathologist, based in Ridgewood, NJ. Shannon Anne Heil practices in Ridgewood, NJ and has the professional credentials of MS, CCC-SLP. The NPI Number for Shannon Anne Heil is 1043832397 and holds a License No. 41YS00987700 (NJ). The current practice location address for Shannon Anne Heil is 304 S Van Dien Ave, Ridgewood, NJ 07450-5200 and can be reached out via phone at 201-445-8200.

Provider Profile Details

NPI Number
1043832397
Provider Name
Shannon Anne Heil
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
304 S Van Dien Ave, Ridgewood, NJ 07450-5200
Phone Number
201-445-8200
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 9, 2020
Last Update Date
May 9, 2020
Certification Date
May 9, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
304 S Van Dien Ave
Ridgewood, NJ 07450-5200
Zip
07450-5200
Phone Number
201-445-8200
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
43 Pitcairn Dr
Roseland, NJ 07068-1020
City
Roseland
State
NJ
Zip
07068-1020
Phone Number
973-525-6139

License Information

License Number
41YS00987700
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shannon A Heil, MS, CCC-SLP?

The NPI number of Shannon A Heil, MS, CCC-SLP is 1043832397. It was assigned on May 9, 2020 and is currently active in the NPPES registry.

What is the specialty of Shannon A Heil, MS, CCC-SLP?

Shannon A Heil, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00987700.

Where does Shannon A Heil, MS, CCC-SLP practice?

The practice location is 304 S Van Dien Ave, Ridgewood, NJ 07450-5200. The office can be reached at 201-445-8200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043832397 directly on the NPPES registry website.

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