Healthcare Provider Details

I. General information

NPI: 1376416206
Provider Name (Legal Business Name): HEATHER BEIRNE ANDERSON MSC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3509 VIRGINIA BEACH BLVD
VIRGINIA BEACH VA
23452-4421
US

IV. Provider business mailing address

3509 VIRGINIA BEACH BLVD
VIRGINIA BEACH VA
23452-4421
US

V. Phone/Fax

Practice location:
  • Phone: 757-261-4475
  • Fax: 757-222-3156
Mailing address:
  • Phone: 757-261-4475
  • Fax: 757-222-3156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number0119011217
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: