DR. JEANNE ALBRONDA HEATON


Address: 3 West Stimson, Athens, OH 45701-1116
Phone: 7407071201

DR. JEANNE ALBRONDA HEATON (NPI# 1770558892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770558892
Entity Type Individual
Full Name DR. JEANNE ALBRONDA HEATON
Credential JEANNE HEATON, PH.D.
Practice Address 3 West Stimson
Athens
OH 45701-1116
Mailing Address Po Box 1116
Athens
OH 45701-1116
Practice Telephone 7407071201
Mailing Telephone 7405931616
Enumeration Date 2006-02-22
Last Update Date 2020-04-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
2547 OH Behavioral Health & Social Service Providers
Y 103TC1900X Psychologist
Specialization: Counseling
2547 OH Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0358876 05

Office Location

Street Address 3 WEST STIMSON
City ATHENS,
State OH
Zip Code 45701-1116

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1821559691 Mary N Lee Student in an Organized Health Care Education/Training Program 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 2019-03-26
1275007692 Gabrielle Ruth Wesemeyer Student in an Organized Health Care Education/Training Program 6 South Congress Street, Athens, OH 45701 2019-01-18
1528551918 Bradford Thomas Meyers Psychologist 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 2018-06-11
1912499344 William Monopoli Student in an Organized Health Care Education/Training Program 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 2018-06-01
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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Competitor

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City ATHENS,
Zip Code 45701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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