Provider Demographics
NPI:1295128924
Name:WHEELER, HEATHER LINDSAY (MSW)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:LINDSAY
Last Name:WHEELER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 WEST ST APT 3F
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-2933
Mailing Address - Country:US
Mailing Address - Phone:860-593-4912
Mailing Address - Fax:
Practice Address - Street 1:88 WEST ST APT 3F
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-2933
Practice Address - Country:US
Practice Address - Phone:860-593-4912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-04
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health