Provider Demographics
NPI:1568508471
Name:OWSLEY, HEATHER M (MS)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:M
Last Name:OWSLEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:85 GRASSMIRE DRIVE
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-3476
Mailing Address - Country:US
Mailing Address - Phone:931-249-0717
Mailing Address - Fax:
Practice Address - Street 1:585-G SOUTH RIVERSIDE DRIVE
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-3107
Practice Address - Country:US
Practice Address - Phone:931-503-0777
Practice Address - Fax:931-503-0703
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health