Provider Demographics
NPI:1144368622
Name:LOCHRIDGE, HEIDI MELISSA (MS,CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:MELISSA
Last Name:LOCHRIDGE
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8050 N 72ND PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-2716
Mailing Address - Country:US
Mailing Address - Phone:480-368-9238
Mailing Address - Fax:
Practice Address - Street 1:8050 N 72ND PL
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-2716
Practice Address - Country:US
Practice Address - Phone:480-368-9238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP0576235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist