Provider Demographics
NPI:1376709386
Name:BALDACCI, HEIDI BECHTOLDT (PHD)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:BECHTOLDT
Last Name:BALDACCI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1741 CONARD RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-1371
Mailing Address - Country:US
Mailing Address - Phone:717-824-7661
Mailing Address - Fax:
Practice Address - Street 1:1741 CONARD RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-1371
Practice Address - Country:US
Practice Address - Phone:717-824-7661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-30
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017612103T00000X
PAPS016480103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist