Provider Demographics
NPI:1902040256
Name:HUDSON, HEATHER ANN (DO)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:ANN
Last Name:HUDSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1835 FRANKS PKWY
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-6249
Mailing Address - Country:US
Mailing Address - Phone:330-899-2460
Mailing Address - Fax:330-899-2461
Practice Address - Street 1:169 5TH ST SE
Practice Address - Street 2:SUITE B
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-9003
Practice Address - Country:US
Practice Address - Phone:330-745-7263
Practice Address - Fax:330-745-7806
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2022-01-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH340103642084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry