Provider Demographics
NPI:1386890309
Name:CECIL-VAN DEN HEUVEL, DENISE (DENNY) J (PHD)
Entity type:Individual
Prefix:DR
First Name:DENISE (DENNY)
Middle Name:J
Last Name:CECIL-VAN DEN HEUVEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2247 GABRIEL LN
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-5242
Mailing Address - Country:US
Mailing Address - Phone:561-670-8187
Mailing Address - Fax:
Practice Address - Street 1:3540 FOREST HILL BLVD
Practice Address - Street 2:POINCIANA EXECUTIVE SUITE #112
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-5878
Practice Address - Country:US
Practice Address - Phone:561-670-8187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-10
Last Update Date:2008-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6235101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health