| Doctor Name: | DR. HEIDE SEDWICK |
| NPI Number: | 1740490291 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | EDD |
| License Number: | PS007328-L |
| Business Practice Address: | 511 C Front Street Cresson, PA - 16630 |
| Business Phone Number: | 8142321231 |
| Business Fax Number: | 8147364892 |
| Mailing Address: | Po Box 283, CRESSON |
| State: | PA |
| Postal Code: | 16630 |
| Phone Number: | 8142321231 |
| Fax Number: | 8147364892 |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | PS007328-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |