Provider Demographics
NPI:1497742837
Name:HEIFER, DENISE I (LSW)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:I
Last Name:HEIFER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:I
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:200 NORTH 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17046
Mailing Address - Country:US
Mailing Address - Phone:717-273-1710
Mailing Address - Fax:717-273-1416
Practice Address - Street 1:1733 PENN AVE
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19609-2054
Practice Address - Country:US
Practice Address - Phone:610-670-7270
Practice Address - Fax:610-678-3825
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW122686104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker