Provider Demographics
NPI:1699205518
Name:HEYDT, DANIEL CHARLES (MS,MPA)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:CHARLES
Last Name:HEYDT
Suffix:
Gender:M
Credentials:MS,MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 SOUTHFIELD DR
Mailing Address - Street 2:
Mailing Address - City:OLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19547-8982
Mailing Address - Country:US
Mailing Address - Phone:610-335-8747
Mailing Address - Fax:
Practice Address - Street 1:408 SOUTHFIELD DR
Practice Address - Street 2:
Practice Address - City:OLEY
Practice Address - State:PA
Practice Address - Zip Code:19547-8982
Practice Address - Country:US
Practice Address - Phone:610-335-8747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor