Provider Demographics
NPI:1518181742
Name:HALPERN, HEATHER RUTH
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:RUTH
Last Name:HALPERN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:HEATHER
Other - Middle Name:RUTH
Other - Last Name:HALPERN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW,LCSW
Mailing Address - Street 1:1499 HUNTINGTON DR
Mailing Address - Street 2:STE.308
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-4552
Mailing Address - Country:US
Mailing Address - Phone:626-797-3666
Mailing Address - Fax:
Practice Address - Street 1:1499 HUNTINGTON DR
Practice Address - Street 2:SUITE 308
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-4552
Practice Address - Country:US
Practice Address - Phone:626-797-3666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS130561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical