Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heidi Linette Bolanos

Individual provider Speech-Language Assistant · NPI 1013412337

Heidi Linette Bolanos is a Qualified Speech Language Pathologist in Pacoima, California. Qualified in 2023, 3 years ago. Registered with an NPI since 2018.

Years since qualifying
3
In the registry since
2018

Practice location Address checks out

13066 Van Nuys Blvd
Pacoima, CA 91331-2576
Phone: (818) 206-8217
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X

Record details

NPI number1013412337
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2018
Last updated in NPPESMarch 28, 2018
Mailing address13066 Van Nuys Blvd, Pacoima, CA 91331-2576

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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