Most Relevant Information
Provider Data
| NPI Number: | 1003261025 |
| Provider Name: | ANDREA HEFFERNAN MACCCSLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 80 |
Most Important Dates
| Enumeration Date: | 04/27/2016 |
| Last Updated: | 04/27/2016 |
Provider Practice Location
7819 CONSER PL
OVERLAND PARK
KS
662042820
Practice Location Phone/Fax
| Phone: | 9137899900 |
| Fax: | 9137899900 |
Provider Mailing Location
7819 CONSER PL
OVERLAND PARK
KS
662042820
Provider Mailing Phone/Fax
| Phone: | 9137899900 |
| Fax: | 9137899900 |