Provider Demographics
NPI:1295267805
Name:HEFFNER, ELIZABETH (MED, LPC)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:
Last Name:HEFFNER
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:S
Other - Last Name:WIEGAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:1058 LAURELEE AVE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-1316
Mailing Address - Country:US
Mailing Address - Phone:484-207-6754
Mailing Address - Fax:484-538-2992
Practice Address - Street 1:2100 N 13TH ST UNIT 13541
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19612-7114
Practice Address - Country:US
Practice Address - Phone:484-207-6754
Practice Address - Fax:484-538-2992
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-02
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional