Provider Demographics
NPI:1023749405
Name:HEIDEMAN, MAY
Entity type:Individual
Prefix:
First Name:MAY
Middle Name:
Last Name:HEIDEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MAY
Other - Middle Name:
Other - Last Name:SWISSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4020 N HILLS DR APT 39
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-2447
Mailing Address - Country:US
Mailing Address - Phone:908-242-2719
Mailing Address - Fax:
Practice Address - Street 1:4020 N HILLS DR APT 39
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-2447
Practice Address - Country:US
Practice Address - Phone:908-242-2719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-17
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist