Provider Demographics
NPI:1013058056
Name:HECKMAN, GEORGE A (M ED, LPC)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:A
Last Name:HECKMAN
Suffix:
Gender:M
Credentials:M ED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 DRIFTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MONONGAHELA
Mailing Address - State:PA
Mailing Address - Zip Code:15063-1120
Mailing Address - Country:US
Mailing Address - Phone:724-258-7029
Mailing Address - Fax:
Practice Address - Street 1:6 BEN LOMOND ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2829
Practice Address - Country:US
Practice Address - Phone:724-425-0223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003924101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional