Provider Demographics
NPI:1710685490
Name:MARQUARDT-HOESE, HEATHER MEIER (MS)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:MEIER
Last Name:MARQUARDT-HOESE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:LUCILLE
Other - Last Name:MEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1135 SPYGLASS CT
Mailing Address - Street 2:
Mailing Address - City:TWIN LAKES
Mailing Address - State:WI
Mailing Address - Zip Code:53181-9496
Mailing Address - Country:US
Mailing Address - Phone:414-578-0750
Mailing Address - Fax:
Practice Address - Street 1:18698 W PETERSON RD
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-1052
Practice Address - Country:US
Practice Address - Phone:847-377-8855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health