Doctor Name: | MISS HEATHER LYNN GORR |
NPI Number: | 1053755025 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, NCC, CJSOTS |
License Number: | 312122 |
Business Practice Address: | 960 Century Dr Mechanicsburg, PA - 170554374 |
Business Phone Number: | 7177133015 |
Business Fax Number: | |
Mailing Address: | 960 Century Dr, MECHANICSBURG |
State: | PA |
Postal Code: | 170554374 |
Phone Number: | 7174332716 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2013 |
NPI Last Update Date: | 12/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 312122 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |