| Doctor Name: | DR. BRUCE R HEANY |
| NPI Number: | 1174670558 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.MIN.,LPC |
| License Number: | 1408 |
| Business Practice Address: | 11674 Huron Street #200 Northglenn, CO - 80234 |
| Business Phone Number: | 3032122164 |
| Business Fax Number: | 3034287303 |
| Mailing Address: | 11674 Huron Street #200, NORTHGLENN |
| State: | CO |
| Postal Code: | 80234 |
| Phone Number: | 3032122164 |
| Fax Number: | 3034287303 |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 11/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | 1408 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |