Provider Demographics
NPI:1760798649
Name:HELZER, HEATHER ELECIA (MD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:ELECIA
Last Name:HELZER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HEATHER
Other - Middle Name:ELECIA
Other - Last Name:FINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1112 11TH ST STE 301
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-6654
Mailing Address - Country:US
Mailing Address - Phone:360-205-4210
Mailing Address - Fax:
Practice Address - Street 1:1112 11TH ST STE 301
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-6654
Practice Address - Country:US
Practice Address - Phone:360-205-4210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010971492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry