Basic Information
| Provider Information | |||||||||
| NPI: | 1275687303 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HECKEL | ||||||||
| FirstName: | TAMARA | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | B.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 551 OAKLYNN CT | ||||||||
| Address2: | APT. #1A | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152204214 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3193215666 | ||||||||
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| Practice Location | |||||||||
| Address1: | 331 SHAW AVE | ||||||||
| Address2: | LOWER LEVEL | ||||||||
| City: | MCKEESPORT | ||||||||
| State: | PA | ||||||||
| PostalCode: | 151322918 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126758855 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/23/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.