Individual
JUDY H HELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, ACSW,LCSW
Contact information
Practice address
209 S BONSALL ST, PHILADELPHIA, PA 19103-5507
(215) 563-2706
(215) 563-2706
Mailing address
209 S BONSALL ST, PHILADELPHIA, PA 19103-5507
(215) 563-2706
(215) 563-2706
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013746
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
653007
HIGHMARKBLUESHIELD
PA
Enumeration date
12/06/2006
Last updated
07/08/2007
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