Provider Demographics
NPI:1649504895
Name:HEINRICHS, MARY BETH (MS)
Entity type:Individual
Prefix:MS
First Name:MARY BETH
Middle Name:
Last Name:HEINRICHS
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 1:227 GARLAND ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-1611
Mailing Address - Country:US
Mailing Address - Phone:412-606-2608
Mailing Address - Fax:
Practice Address - Street 1:227 GARLAND ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1611
Practice Address - Country:US
Practice Address - Phone:412-606-2608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist