Provider Demographics
NPI:1881168805
Name:MANN, HEATHER JEAN SCURTU (PSYD)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:JEAN SCURTU
Last Name:MANN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:13072 EBENEZER CHAPEL DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-4515
Mailing Address - Country:US
Mailing Address - Phone:773-592-5628
Mailing Address - Fax:
Practice Address - Street 1:QUINCE ORCHARD PSYCHOTHERAPY
Practice Address - Street 2:9707 KEY WEST AVENUE, SUITE 100
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:240-750-6467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-12
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06069103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical