Provider Demographics
NPI:1255475695
Name:CALCATERRA, HEATHER LYNN (MA, LLPC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:LYNN
Last Name:CALCATERRA
Suffix:
Gender:F
Credentials:MA, LLPC
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Other - First Name:
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Mailing Address - Street 1:17860 GLENDALE ST
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-3432
Mailing Address - Country:US
Mailing Address - Phone:586-773-8135
Mailing Address - Fax:
Practice Address - Street 1:43902 WOODWARD AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-5011
Practice Address - Country:US
Practice Address - Phone:248-338-1700
Practice Address - Fax:248-335-1732
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI6401009197101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health