Provider Demographics
NPI:1578666954
Name:HEEP, RICHARD BJELDANES (PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:BJELDANES
Last Name:HEEP
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 YORKTOWN PLAZA
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027
Mailing Address - Country:US
Mailing Address - Phone:215-885-4775
Mailing Address - Fax:215-885-4776
Practice Address - Street 1:315 YORKTOWN PLAZA
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027
Practice Address - Country:US
Practice Address - Phone:215-885-4775
Practice Address - Fax:215-885-4776
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS002972L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
0111230000OtherPERSONAL CHOICE
4416517OtherAETNA HMO
P3413980OtherOXFORD HEALTH PLAN
272557OtherMAMSI
PA01403724Medicaid
62003OtherUBH
62003OtherUBH
P3413980OtherOXFORD HEALTH PLAN