Provider Demographics
NPI:1255847687
Name:HEARN, NATALIE
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:HEARN
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 1:8618 SWORD ST
Mailing Address - Street 2:
Mailing Address - City:GUNPOWDER
Mailing Address - State:MD
Mailing Address - Zip Code:21010-1742
Mailing Address - Country:US
Mailing Address - Phone:405-618-9907
Mailing Address - Fax:
Practice Address - Street 1:602 S ATWOOD RD STE 100
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4198
Practice Address - Country:US
Practice Address - Phone:443-567-5182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLBA926103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst