Doctor Name: | MS. PAMELA HEUSCHKEL-EGGLESTON |
NPI Number: | 1902944713 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFT-LPC |
License Number: | 001647 |
Business Practice Address: | 92 Vine St New Britain, CT - 060521433 |
Business Phone Number: | 8602239291 |
Business Fax Number: | 8602233111 |
Mailing Address: | 92 Vine St, NEW BRITAIN |
State: | CT |
Postal Code: | 060521433 |
Phone Number: | 8602239291 |
Fax Number: | 8602233111 |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 10/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001647 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |