Provider Demographics
NPI:1801204946
Name:HEFFERNAN-SNYDER, BETTY
Entity Type:Individual
Prefix:
First Name:BETTY
Middle Name:
Last Name:HEFFERNAN-SNYDER
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 1:44 S FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-2100
Mailing Address - Country:US
Mailing Address - Phone:717-334-9111
Mailing Address - Fax:
Practice Address - Street 1:44 S FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2100
Practice Address - Country:US
Practice Address - Phone:717-334-9111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health