Provider Demographics
NPI:1528091089
Name:ECK, HEATHER LYNN (AUD)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:LYNN
Last Name:ECK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:HEATHER
Other - Middle Name:LYNN
Other - Last Name:SHENK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:600 WILLOW VALLEY SQUARE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602
Mailing Address - Country:US
Mailing Address - Phone:717-464-6411
Mailing Address - Fax:717-464-6751
Practice Address - Street 1:600 WILLOW VALLEY SQUARE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602
Practice Address - Country:US
Practice Address - Phone:717-484-6411
Practice Address - Fax:717-464-5751
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT001122L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA090685T7QMedicare ID - Type UnspecifiedMEDICARE PART B