Provider Demographics
NPI:1164739561
Name:SCHWENN, HEATHER LEE
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:LEE
Last Name:SCHWENN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27211 TYRRELL AVE
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-4509
Mailing Address - Country:US
Mailing Address - Phone:510-887-0303
Mailing Address - Fax:
Practice Address - Street 1:27211 TYRRELL AVE
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-4509
Practice Address - Country:US
Practice Address - Phone:510-887-0303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health