Provider Demographics
NPI:1346134681
Name:STARR, HEATHER (AUD)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:STARR
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4508
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31208-4508
Mailing Address - Country:US
Mailing Address - Phone:478-743-8953
Mailing Address - Fax:478-741-9556
Practice Address - Street 1:6084 LAKEVIEW RD
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-9174
Practice Address - Country:US
Practice Address - Phone:478-743-8953
Practice Address - Fax:478-741-9556
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD004449231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist