Individual
DR. DANIEL HETHERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
117 VIP DR STE 310, WEXFORD, PA 15090-6936
(724) 934-3905
(724) 934-3906
Mailing address
117 VIP DR STE 310, WEXFORD, PA 15090-6936
(724) 934-3905
(724) 934-3906
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS015309L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1589625
HIGHMARK
PW
01
—
410218
CCBH-UPMC
PA
Enumeration date
08/10/2006
Last updated
07/13/2023
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