Provider Demographics
NPI:1427354547
Name:BELLINI, HEATHER MARY (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:MARY
Last Name:BELLINI
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
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Mailing Address - Street 1:104 CANTERBURY DR
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19086-6616
Mailing Address - Country:US
Mailing Address - Phone:509-868-4840
Mailing Address - Fax:
Practice Address - Street 1:100 PARK AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081-1729
Practice Address - Country:US
Practice Address - Phone:215-385-5158
Practice Address - Fax:610-874-2675
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-07
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPC005668101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional