Provider Demographics
NPI:1497954218
Name:HEBERLEIN, VONA SUE (RNC)
Entity Type:Individual
Prefix:MRS
First Name:VONA
Middle Name:SUE
Last Name:HEBERLEIN
Suffix:
Gender:F
Credentials:RNC
Other - Prefix:MRS
Other - First Name:BONNIE
Other - Middle Name:SUE
Other - Last Name:HEBERLEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RNC
Mailing Address - Street 1:4561 E LAKE RD
Mailing Address - Street 2:APT. 2C
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16511-1364
Mailing Address - Country:US
Mailing Address - Phone:814-899-0964
Mailing Address - Fax:
Practice Address - Street 1:1330 W 26TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-1402
Practice Address - Country:US
Practice Address - Phone:814-459-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN274338L101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health