| Doctor Name: | HEATHER L DERMYER |
| NPI Number: | 1114230786 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 6301014186 |
| Business Practice Address: | 2060 East Paris Ave Se Suite 200 Grand Rapids, MI - 49546 |
| Business Phone Number: | 6162851377 |
| Business Fax Number: | 6162851154 |
| Mailing Address: | 61 Commerce Ave. Sw, GRAND RAPIDS |
| State: | MI |
| Postal Code: | 49503 |
| Phone Number: | 6169402662 |
| Fax Number: | 6169401965 |
| NPI Enumeration Date: | 07/23/2010 |
| NPI Last Update Date: | 04/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 6301014186 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |