Individual
TARA HEYDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 RED HILL DR, PALMERTON, PA 18071-1740
(484) 464-3474
Mailing address
PO BOX 277, PALMERTON, PA 18071-0277
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
25697600
PA
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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