| NPI | 1396854030 |
|---|---|
| Former Name | GREGG A HEFFNER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93305) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R070522) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2024-09-26 |