Provider Demographics
NPI:1144477340
Name:HECKMANN, CARLA JOANN (MS, SLP)
Entity type:Individual
Prefix:MISS
First Name:CARLA
Middle Name:JOANN
Last Name:HECKMANN
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1989 MADISON ST
Mailing Address - Street 2:SUITE 122
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-5067
Mailing Address - Country:US
Mailing Address - Phone:931-538-3755
Mailing Address - Fax:931-538-3756
Practice Address - Street 1:1989 MADISON ST
Practice Address - Street 2:SUITE 122
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-5067
Practice Address - Country:US
Practice Address - Phone:931-538-3755
Practice Address - Fax:931-538-3756
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist