Heller, Mary Beth
Heller, Mary Beth is an sole proprietor health care provider with primary practice located at 5931 Harbour Park Dr , Midlothian VA 23112-2163. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Heller, Mary Beth can be contacted via phone (804) 693-1136.Contact Information
Primary practice address
5931 Harbour Park Dr
Midlothian VA 23112-2163
Phone: (804) 693-1136
Fax: (804) 639-5584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810003684 | Virginia |
Profile Details
| NPI number | 1972694032 |
|---|---|
| LBN Legal business name | Heller, Mary Beth |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972694032 | NPPES |
| Virginia | Other | 237695 | ANTHEM PROVIDER NUMBER |
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