Provider Demographics
NPI:1942040415
Name:DANIELS, HEIDI A
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:A
Last Name:DANIELS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7005 DIAMOND DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-7770
Mailing Address - Country:US
Mailing Address - Phone:724-809-6882
Mailing Address - Fax:
Practice Address - Street 1:3000 PARK PLACE DR STE 108
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-2068
Practice Address - Country:US
Practice Address - Phone:412-704-2919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor