Provider Demographics
NPI:1477103083
Name:DR HEATHER D HAGGERTY & ASSOCIATES PLLC
Entity type:Organization
Organization Name:DR HEATHER D HAGGERTY & ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:D
Authorized Official - Last Name:HAGGERTY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:248-346-4999
Mailing Address - Street 1:PO BOX 104
Mailing Address - Street 2:
Mailing Address - City:UNION LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48387-0104
Mailing Address - Country:US
Mailing Address - Phone:248-346-4999
Mailing Address - Fax:
Practice Address - Street 1:215 ANN ARBOR RD W STE 206
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-2251
Practice Address - Country:US
Practice Address - Phone:248-346-4999
Practice Address - Fax:734-335-3931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-16
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty