Provider Demographics
NPI:1205190469
Name:HORGAN, HEATHER ELIZABETH (BS)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:ELIZABETH
Last Name:HORGAN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MISS
Other - First Name:HEATHER
Other - Middle Name:E
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:221 WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH PORT
Mailing Address - State:MA
Mailing Address - Zip Code:02675-1770
Mailing Address - Country:US
Mailing Address - Phone:781-985-5558
Mailing Address - Fax:
Practice Address - Street 1:221 WILLOW ST
Practice Address - Street 2:
Practice Address - City:YARMOUTH PORT
Practice Address - State:MA
Practice Address - Zip Code:02675-1770
Practice Address - Country:US
Practice Address - Phone:781-985-5558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-02
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health