Gillman, Heather

Gillman, Heather is an sole proprietor health care provider with primary practice located at 157 South Dr , Walden NY 12586-2306. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gillman, Heather can be contacted via phone (516) 236-8974.

Contact Information

Primary practice address
157 South Dr Walden NY 12586-2306
Phone: (516) 236-8974
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 016474-1 New York

Profile Details

NPI number 1770610644
LBN Legal business name Gillman, Heather
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Apr 14th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770610644 NPPES
New York MEDICAID 02909204

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