Provider Demographics
NPI:1780876086
Name:HECK, JAMES (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:HECK
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2225 SYCAMORE ST STE 760
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-1026
Mailing Address - Country:US
Mailing Address - Phone:717-215-9598
Mailing Address - Fax:717-695-0133
Practice Address - Street 1:2225 SYCAMORE ST STE 760
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-1026
Practice Address - Country:US
Practice Address - Phone:717-215-9598
Practice Address - Fax:717-695-0133
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS 008632-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001684714Medicaid