Provider Demographics
NPI:1992009534
Name:GRINAR, HEATHER ANN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:ANN
Last Name:GRINAR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1566 MEDICAL DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-3229
Mailing Address - Country:US
Mailing Address - Phone:610-970-5000
Mailing Address - Fax:610-970-3331
Practice Address - Street 1:1566 MEDICAL DR
Practice Address - Street 2:SUITE 110
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3229
Practice Address - Country:US
Practice Address - Phone:610-970-5000
Practice Address - Fax:610-970-3331
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-22
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005720101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC005720OtherLPC