Frederick, Heather Eileen

Frederick, Heather Eileen is an individual health care provider with primary practice located at 31 Thurber Dr , Waterloo NY 13165-1649. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Frederick, Heather Eileen can be contacted via phone (315) 539-1980.

Contact Information

Primary practice address
31 Thurber Dr Waterloo NY 13165-1649
Phone: (315) 539-1980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 007551 New York

Profile Details

NPI number 1366877920
LBN Legal business name Frederick, Heather Eileen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2013
Last updated Oct 28th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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