Provider Demographics
NPI:1174177760
Name:SANDERS, HEIDI RUTH (MS)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:RUTH
Last Name:SANDERS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:RUTH
Other - Last Name:DENNISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:1402 COMMERCE AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-1611
Mailing Address - Country:US
Mailing Address - Phone:304-412-4533
Mailing Address - Fax:
Practice Address - Street 1:1402 COMMERCE AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-1611
Practice Address - Country:US
Practice Address - Phone:304-412-4533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-31
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist