Individual
DR. ROBERT HEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D. LMFT
Contact information
Practice address
110 PARK AVE STE 2B, SWARTHMORE, PA 19081-1736
(484) 362-9453
Mailing address
110 PARK AVE STE 2B, SWARTHMORE, PA 19081-1736
(484) 362-9453
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000819
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A6
PYSCHO-THERAPIST
PA
Enumeration date
09/09/2015
Last updated
09/09/2015
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