Individual
NATALIE JILL HETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3550 CONCORD RD, YORK, PA 17402-8626
(717) 851-6340
(717) 851-6349
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-6340
(717) 851-6349
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017528
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102901798
—
PA
Enumeration date
09/16/2009
Last updated
07/14/2016
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