Provider Demographics
NPI:1801327168
Name:IGLEHEART, HOPE (LP)
Entity type:Individual
Prefix:MS
First Name:HOPE
Middle Name:
Last Name:IGLEHEART
Suffix:
Gender:F
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 WOOSTER ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-4349
Mailing Address - Country:US
Mailing Address - Phone:212-334-0263
Mailing Address - Fax:212-925-2563
Practice Address - Street 1:59 WOOSTER ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-4349
Practice Address - Country:US
Practice Address - Phone:212-334-0263
Practice Address - Fax:212-925-2563
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000092102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst