Provider Demographics
NPI:1568115509
Name:HEYN, DALMA VICTORIA (MSW, LMSW)
Entity Type:Individual
Prefix:
First Name:DALMA
Middle Name:VICTORIA
Last Name:HEYN
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 HILLSPOINT RD
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-6619
Mailing Address - Country:US
Mailing Address - Phone:203-227-1469
Mailing Address - Fax:
Practice Address - Street 1:1817 BLACK ROCK TPKE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-3515
Practice Address - Country:US
Practice Address - Phone:203-717-1339
Practice Address - Fax:203-612-4414
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1676101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health