Provider Demographics
NPI:1568348894
Name:VONHEEDER, SANDY JULE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:SANDY
Middle Name:JULE
Last Name:VONHEEDER
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 1:6135 NORTHILL DR SW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98512-2842
Mailing Address - Country:US
Mailing Address - Phone:206-459-0384
Mailing Address - Fax:
Practice Address - Street 1:1205 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98512-6906
Practice Address - Country:US
Practice Address - Phone:360-709-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist