Provider Demographics
NPI:1225700271
Name:TUSZYNSKI, HEIDI MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:MARIE
Last Name:TUSZYNSKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5426 GARDNER DR
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-3019
Mailing Address - Country:US
Mailing Address - Phone:814-969-3241
Mailing Address - Fax:
Practice Address - Street 1:5426 GARDNER DR
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-3019
Practice Address - Country:US
Practice Address - Phone:814-969-3241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004730101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional