Provider Demographics
NPI:1528234150
Name:HEPPNER, PEARL DELIGHT (LMFT)
Entity type:Individual
Prefix:MS
First Name:PEARL
Middle Name:DELIGHT
Last Name:HEPPNER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4304
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93744-4304
Mailing Address - Country:US
Mailing Address - Phone:559-437-3710
Mailing Address - Fax:559-437-3720
Practice Address - Street 1:2610 W SHAW LN
Practice Address - Street 2:SUITE 104
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-2775
Practice Address - Country:US
Practice Address - Phone:559-437-3710
Practice Address - Fax:559-437-3720
Is Sole Proprietor?:No
Enumeration Date:2008-05-04
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC40217106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist