Provider Demographics
NPI:1528066024
Name:HEEREN, HELEN (PHD)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:
Last Name:HEEREN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 SARAH ST
Mailing Address - Street 2:
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-2118
Mailing Address - Country:US
Mailing Address - Phone:570-424-1853
Mailing Address - Fax:570-424-1580
Practice Address - Street 1:523 SARAH ST
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-2118
Practice Address - Country:US
Practice Address - Phone:570-424-1853
Practice Address - Fax:570-424-1580
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW-002640-L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
62004820OtherUNITED BEHAVIORAL HEALTH
118396OtherMHN
225656OtherCOMPSYCH
6896123002OtherGHI
N2757OtherEMPIRE BLUE
280100OtherVALUE OPTIONS
HE1675569OtherHIGHMARK BLUE
2168547OtherCIGNA
803467Other1ST PRIORITY HEALTH
6896123002OtherGHI