Provider Demographics
NPI:1750058178
Name:OWEN, HEIDI JOANNE (MS, CGC)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:JOANNE
Last Name:OWEN
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:JOANNE
Other - Last Name:DREYFUSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3370 MORNINGVIEW TER
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-2472
Mailing Address - Country:US
Mailing Address - Phone:248-561-5334
Mailing Address - Fax:
Practice Address - Street 1:201 INDUSTRIAL RD
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-2396
Practice Address - Country:US
Practice Address - Phone:650-249-9090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS