Provider Demographics
NPI:1740172238
Name:HEYDT, SAMANTHA JEAN (MT-BC)
Entity type:Individual
Prefix:MISS
First Name:SAMANTHA
Middle Name:JEAN
Last Name:HEYDT
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:315 GIBRALTAR RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-3325
Mailing Address - Country:US
Mailing Address - Phone:610-823-4037
Mailing Address - Fax:610-823-4037
Practice Address - Street 1:315 GIBRALTAR RD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-3325
Practice Address - Country:US
Practice Address - Phone:610-823-4037
Practice Address - Fax:610-823-4037
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA18941225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist