Provider Demographics
NPI:1467640722
Name:HUETTNER, CONNIE CHEILA (MA, MT-BC)
Entity Type:Individual
Prefix:MRS
First Name:CONNIE
Middle Name:CHEILA
Last Name:HUETTNER
Suffix:
Gender:F
Credentials:MA, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2442 LITITZ PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-3608
Mailing Address - Country:US
Mailing Address - Phone:717-471-5958
Mailing Address - Fax:
Practice Address - Street 1:2442 LITITZ PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-3608
Practice Address - Country:US
Practice Address - Phone:717-471-5958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist