Provider Demographics
NPI:1841836228
Name:HECKAMAN, ERIN (MS, LCGC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:HECKAMAN
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 E 1650 S
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-4020
Mailing Address - Country:US
Mailing Address - Phone:513-602-5293
Mailing Address - Fax:
Practice Address - Street 1:310 E 1650 S
Practice Address - Street 2:
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-4020
Practice Address - Country:US
Practice Address - Phone:513-602-5293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8530696-3601170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS