Pudish, Heather Maria

Pudish, Heather Maria is an sole proprietor health care provider with primary practice located at 10 Keibel Road Whitney Point Central School District, Whitney Point NY 13862. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pudish, Heather Maria can be contacted via phone (607) 692-8202.

Contact Information

Primary practice address
10 Keibel Road Whitney Point Central School District Whitney Point NY 13862
Phone: (607) 692-8202
Fax: (607) 692-4434
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 089190-01 New York

Profile Details

NPI number 1962742585
LBN Legal business name Pudish, Heather Maria
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2013
Last updated Jan 13th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962742585 NPPES
New York MEDICAID 089190-01

Popular Providers