Provider Demographics
NPI:1548488422
Name:DURDEN, HEATHER HEALEY
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:HEALEY
Last Name:DURDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2609 WOODHILL WAY
Mailing Address - Street 2:
Mailing Address - City:NORTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76247-1674
Mailing Address - Country:US
Mailing Address - Phone:251-454-9021
Mailing Address - Fax:
Practice Address - Street 1:2609 WOODHILL WAY
Practice Address - Street 2:
Practice Address - City:NORTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76247-1674
Practice Address - Country:US
Practice Address - Phone:251-454-9021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist