Provider Demographics
NPI:1689918419
Name:HECKARD, FRANCE M
Entity Type:Individual
Prefix:
First Name:FRANCE
Middle Name:M
Last Name:HECKARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FRANCE
Other - Middle Name:M
Other - Last Name:ANDRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:921 E RIDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-3912
Mailing Address - Country:US
Mailing Address - Phone:917-941-0709
Mailing Address - Fax:
Practice Address - Street 1:921 EAST RIDGEWOOD AVE.
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450
Practice Address - Country:US
Practice Address - Phone:917-941-0709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY768676971252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency