Provider Demographics
NPI:1659108215
Name:MAJOR, HEATHER LEE (MSW - INTERN)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:LEE
Last Name:MAJOR
Suffix:
Gender:F
Credentials:MSW - INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 GARIBALDI AVE
Mailing Address - Street 2:
Mailing Address - City:ROSETO
Mailing Address - State:PA
Mailing Address - Zip Code:18013-1329
Mailing Address - Country:US
Mailing Address - Phone:610-704-1625
Mailing Address - Fax:
Practice Address - Street 1:115 GARIBALDI AVE
Practice Address - Street 2:
Practice Address - City:ROSETO
Practice Address - State:PA
Practice Address - Zip Code:18013-1329
Practice Address - Country:US
Practice Address - Phone:610-704-1625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program