Individual
DR. MARK NEVIN HEINLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 ERFORD RD, SUITE 202, LEMOYNE, PA 17043
(717) 737-3500
(717) 795-8841
Mailing address
1430 WELLGATE LN, MECHANICSBURG, PA 17055
(717) 795-8048
(717) 795-8841
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD053565L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MD053565L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017075500002
—
PA
Enumeration date
11/08/2006
Last updated
06/25/2020
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