Provider Demographics
NPI:1548496748
Name:PAUL, HEATHER LYN (MED)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:LYN
Last Name:PAUL
Suffix:
Gender:F
Credentials:MED
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Mailing Address - Street 1:1 MENNONITE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:SPRING CITY
Mailing Address - State:PA
Mailing Address - Zip Code:19475-1518
Mailing Address - Country:US
Mailing Address - Phone:610-948-6490
Mailing Address - Fax:610-474-0201
Practice Address - Street 1:1 MENNONITE CHURCH RD
Practice Address - Street 2:
Practice Address - City:SPRING CITY
Practice Address - State:PA
Practice Address - Zip Code:19475-1518
Practice Address - Country:US
Practice Address - Phone:610-948-6490
Practice Address - Fax:610-474-0201
Is Sole Proprietor?:No
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst