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NPI Code Detail

MEDICARE: HEATHER WASHBURN

MEDICARE: HEATHER WASHBURN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoula
2101YM0800XMental Health Counselor017030-01NY

General Provider Information

NPI Number : 1588294904
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER WASHBURN
Provider Business Mailing Address
First Line : 2483 ARTHUR KILL RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-1207
Country : US
Telephone Number : 718-559-0431
Fax Number :
Provider Business Practice Location Address
First Line : 2483 ARTHUR KILL RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-1207
Country : US
Telephone Number : 718-559-0431
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2020
Last Update Date : 12/10/2025

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Directions to “ HEATHER WASHBURN ” Practice Location

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