Doctor Name: | HEATHER DANIELLE REDMOND |
NPI Number: | 1295960573 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | CW016273 |
Business Practice Address: | 601 Wilson Ave Roaring Spring, PA - 166731351 |
Business Phone Number: | 9082174152 |
Business Fax Number: | 8143170341 |
Mailing Address: | 223 Harvard Rd, PORT MATILDA |
State: | PA |
Postal Code: | 168707307 |
Phone Number: | 9082174152 |
Fax Number: | 8143170341 |
NPI Enumeration Date: | 05/15/2009 |
NPI Last Update Date: | 10/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW016273 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |