Provider Demographics
NPI:1285897330
Name:TWING, HEATHER MARIE (MFT INTERN)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:MARIE
Last Name:TWING
Suffix:
Gender:F
Credentials:MFT INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 EAGLE STREET
Mailing Address - Street 2:MSPCC
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01236-0000
Mailing Address - Country:US
Mailing Address - Phone:413-236-5656
Mailing Address - Fax:413-499-6572
Practice Address - Street 1:53 EAGLE STREET
Practice Address - Street 2:MSPCC
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-0000
Practice Address - Country:US
Practice Address - Phone:413-236-5656
Practice Address - Fax:413-499-6572
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist