Provider Demographics
NPI:1497080527
Name:HEALY, MARY P (DOULA)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:P
Last Name:HEALY
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CORVAIR CT
Mailing Address - Street 2:
Mailing Address - City:FLANDERS
Mailing Address - State:NJ
Mailing Address - Zip Code:07836-9436
Mailing Address - Country:US
Mailing Address - Phone:973-584-2732
Mailing Address - Fax:
Practice Address - Street 1:9 CORVAIR CT
Practice Address - Street 2:
Practice Address - City:FLANDERS
Practice Address - State:NJ
Practice Address - Zip Code:07836-9436
Practice Address - Country:US
Practice Address - Phone:973-584-2732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-07
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174H00000XOther Service ProvidersHealth Educator