| Heather Bolan, | |
|
3630 Willowcreek Rd, Portage, IN 46368-5075 | |
| (219) 364-3000 | |
| Not Available |
| Full Name | Heather Bolan |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3630 Willowcreek Rd, Portage, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336519685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 46002738A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Bolan, 9460 W Oakridge Dr, Saint John, IN 46373-9212 Ph: () - | Heather Bolan, 3630 Willowcreek Rd, Portage, IN 46368-5075 Ph: (219) 364-3000 |
Mrs. Alisha Puckett, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3325 Willowcreek Rd, Portage, IN 46368 Phone: 219-764-4888 Fax: 219-764-4805 | |
Mrs. Gretchen Mercer, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3325 Willowcreek Rd, Portage, IN 46368 Phone: 219-764-4888 Fax: 219-764-4805 | |
Brooke R Moser, ST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6040 Lute Rd, Portage, IN 46368 Phone: 219-763-6858 Fax: 219-763-4858 | |
Deon J Lemmons, ST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6040 Lute Rd, Portage, IN 46368 Phone: 219-763-6858 Fax: 219-763-4858 | |
Cassandra K Ringer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7021 Elaine Ave, Portage, IN 46368 Phone: 219-395-4439 | |
Amber L Edwards, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6040 Lute Rd, Portage, IN 46368 Phone: 219-763-6858 Fax: 219-763-6858 |