Provider Demographics
NPI:1134617483
Name:NATTER, HEATHER (MS)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:
Last Name:NATTER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 SORREL HILL CT
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-4121
Mailing Address - Country:US
Mailing Address - Phone:646-221-3337
Mailing Address - Fax:631-920-5687
Practice Address - Street 1:11 SORREL HILL CT
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-4121
Practice Address - Country:US
Practice Address - Phone:646-221-3337
Practice Address - Fax:631-920-5687
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-23
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool