Individual
MR. CHRISTOPHER J HEEDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
285 MIDDLE COUNTRY RD., SUITE LL5, SMITHTOWN, NY 11787-2980
(631) 724-0600
(631) 724-0960
Mailing address
108 MOREWOOD DR, SMITHTOWN, NY 11787-2335
(631) 513-0858
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
096911
NY
Other
Enumeration date
03/25/2019
Last updated
03/26/2019
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