Healthcare Provider Details

I. General information

NPI: 1992214266
Provider Name (Legal Business Name): BRITTANY HEYWARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2017
Last Update Date: 12/19/2022
Certification Date: 12/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 JOHNSON RD STE 7
TURNERSVILLE NJ
08012-1777
US

IV. Provider business mailing address

2600 W 9TH ST
CHESTER PA
19013-2040
US

V. Phone/Fax

Practice location:
  • Phone: 856-863-3913
  • Fax:
Mailing address:
  • Phone: 856-562-1684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL06777300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: