Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 072589 | NY |
NPI | 1003009317 |
---|---|
Provider Name | Heather Hugelmeyer |
First Address | Plainview, NY 11803-4609 |
Second Address | Valley Stream, NY 11580-5402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2007 |
Last Update Date | 21/08/2007 |