Provider Demographics
NPI:1992195341
Name:BRUMMERT LENNINGS, HEIDI (PHD/MCLINPSYCH)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:
Last Name:BRUMMERT LENNINGS
Suffix:
Gender:F
Credentials:PHD/MCLINPSYCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2158
Mailing Address - Street 2:BERALA
Mailing Address - City:BERALA
Mailing Address - State:NSW
Mailing Address - Zip Code:2141
Mailing Address - Country:AU
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:53 PARKER HILL AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02120-3225
Practice Address - Country:US
Practice Address - Phone:617-278-4256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health