Provider Demographics
NPI:1780099465
Name:HEEREN, ADRIENNE ANN
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:ANN
Last Name:HEEREN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:ANN
Other - Last Name:STRUNK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8043 CORPORATE CIR
Mailing Address - Street 2:SUITE
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-1279
Mailing Address - Country:US
Mailing Address - Phone:888-505-1637
Mailing Address - Fax:888-501-0472
Practice Address - Street 1:8043 CORPORATE CIR
Practice Address - Street 2:SUITE
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-1279
Practice Address - Country:US
Practice Address - Phone:888-505-1637
Practice Address - Fax:888-501-0472
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-21
Last Update Date:2014-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst