Individual
ELIZABETH MEGAN HECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CAS
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
4301 FORESTBROOK DR, LIVERPOOL, NY 13090-2413
(716) 417-9239
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2670643
NY
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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