Provider Demographics
NPI:1700531845
Name:RICHARDS, HEATHER S (PHD LMFT CST)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:S
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:PHD LMFT CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:362 HICKORY LN
Mailing Address - Street 2:
Mailing Address - City:GLADWYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19035-1626
Mailing Address - Country:US
Mailing Address - Phone:215-929-5272
Mailing Address - Fax:
Practice Address - Street 1:362 HICKORY LN
Practice Address - Street 2:
Practice Address - City:GLADWYNE
Practice Address - State:PA
Practice Address - Zip Code:19035-1626
Practice Address - Country:US
Practice Address - Phone:215-929-5272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist