Individual
DR. JOAN Y HEFFERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 FRANKLIN ST, SUITE 2, QUINCY, MA 02169-4951
(781) 676-0000
(781) 676-0067
Mailing address
405 WALTHAM ST, PMB 233, LEXINGTON, MA 02421-7934
(781) 676-0000
(781) 676-0067
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9511
MA
103TC0700X
Clinical Psychologist
9511
MA
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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