Provider Demographics
NPI:1376388579
Name:HEDEGARD, DABNEY (IHP)
Entity type:Individual
Prefix:
First Name:DABNEY
Middle Name:
Last Name:HEDEGARD
Suffix:
Gender:F
Credentials:IHP
Other - Prefix:
Other - First Name:DABNEY
Other - Middle Name:
Other - Last Name:HEDEGARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:IHP
Mailing Address - Street 1:11191 MONET LN
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3307
Mailing Address - Country:US
Mailing Address - Phone:561-252-6695
Mailing Address - Fax:
Practice Address - Street 1:11191 MONET LN
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3307
Practice Address - Country:US
Practice Address - Phone:561-252-6695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171400000X
FL171400000X171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach