Organization Name: | HEATHER D REDMOND |
NPI Number: | 1689990970 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HEATHER D REDMOND (LICENSED CLINICAL SOCIAL WORKER) |
Mailing Address: | 601 Wilson Ave Roaring Spring |
State: | PA US |
Postal Code: | 166731351 |
Phone Number: | 8149377686 |
Fax Number: | 8143170341 |
NPI Enumeration Date: | 04/13/2010 |
NPI Last Update Date: | 04/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |