Provider Demographics
NPI:1073013587
Name:DRYDEN, HEATHER ANN HARRISON (LMFT)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:ANN HARRISON
Last Name:DRYDEN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4720 ALABAMA AVE
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37409-1707
Mailing Address - Country:US
Mailing Address - Phone:423-825-7170
Mailing Address - Fax:
Practice Address - Street 1:1401 CARTER ST STE 102
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-4414
Practice Address - Country:US
Practice Address - Phone:423-815-1447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1291106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist