Doctor Name: | MR. LOUIS HEYWARD |
NPI Number: | 1124005194 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SOCIAL WORKER |
License Number: | 25687 |
Business Practice Address: | Sternberg Avenue Building 515 Fort Eustis, VA - 23604 |
Business Phone Number: | 7573147910 |
Business Fax Number: | 7573147576 |
Mailing Address: | 4 Black Oak Ct, HAMPTON |
State: | VA |
Postal Code: | 236661800 |
Phone Number: | 7578261263 |
Fax Number: | 7573147576 |
NPI Enumeration Date: | 12/29/2005 |
NPI Last Update Date: | 04/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 25687 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |