Provider Demographics
NPI:1699364315
Name:SCHILLING, HEATHER E
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:E
Last Name:SCHILLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5922 184TH LN SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:WA
Mailing Address - Zip Code:98579-8773
Mailing Address - Country:US
Mailing Address - Phone:360-789-0615
Mailing Address - Fax:
Practice Address - Street 1:5922 184TH LN SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:WA
Practice Address - Zip Code:98579-8773
Practice Address - Country:US
Practice Address - Phone:360-789-0615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-16
Last Update Date:2021-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD53219103TS0200X
WA515287A103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool