Provider Demographics
NPI:1326883679
Name:TIRKKONEN, HEIDI (MFT)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:TIRKKONEN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 DRIGGS AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-5363
Mailing Address - Country:US
Mailing Address - Phone:917-525-0867
Mailing Address - Fax:
Practice Address - Street 1:803 DRIGGS AVE APT 4
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-5363
Practice Address - Country:US
Practice Address - Phone:917-525-0867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist