Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
Y | 104100000X | Social Worker | MA |
NPI | 1003185463 |
---|---|
Provider Name | Mrs. Heyda Y. Javier |
First Address | Lawrence, MA 01843-3410 |
Second Address | Lawrence, MA 01843-3410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2011 |
Last Update Date | 14/12/2011 |