Provider Demographics
NPI:1962828590
Name:HEGHINIAN, ARA (DMIN)
Entity Type:Individual
Prefix:DR
First Name:ARA
Middle Name:
Last Name:HEGHINIAN
Suffix:
Gender:M
Credentials:DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 ERMER RD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-1271
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15 ERMER RD
Practice Address - Street 2:SUITE 215
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-1271
Practice Address - Country:US
Practice Address - Phone:603-890-6767
Practice Address - Fax:603-893-6767
Is Sole Proprietor?:No
Enumeration Date:2014-03-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH66101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral