Individual provider · Type 1 NPI

Otis Heavenrich

Speech-Language Pathologist · Astoria, OR

NPI number 1518722016 Active

Practice location

785 Alameda Ave
Astoria, OR 97103-5947

Mailing address

35218 Mudd Ln
Astoria, OR 97103-8337

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X14050779 (OR)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1518722016

Otis Heavenrich's National Provider Identifier is 1518722016, issued on Feb 14, 2024. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Astoria, OR. The record was last updated on Feb 14, 2024.