Provider Demographics
NPI:1447731443
Name:HEIFRIN, KARIN (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:
Last Name:HEIFRIN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 WOODHOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-5126
Mailing Address - Country:US
Mailing Address - Phone:254-780-3919
Mailing Address - Fax:
Practice Address - Street 1:812 WOODHOLLOW DR
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-5126
Practice Address - Country:US
Practice Address - Phone:254-931-1451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18025235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist