Provider Demographics
NPI:1508072414
Name:HEANEY-HUNTER, JOANN C (MS)
Entity Type:Individual
Prefix:PROF
First Name:JOANN
Middle Name:C
Last Name:HEANEY-HUNTER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 BANBURY RD
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-1518
Mailing Address - Country:US
Mailing Address - Phone:516-746-6514
Mailing Address - Fax:516-248-2435
Practice Address - Street 1:600 NEWBRIDGE RD
Practice Address - Street 2:ST. RAPHAEL PARISH
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-5215
Practice Address - Country:US
Practice Address - Phone:516-785-0236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003775101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health