| Heather Hoagland Llc | |
|
14 Bush Hill Dr Niantic CT 06357-1805 | |
| (203) 912-1933 | |
| Not Available |
| Full Name | Heather Hoagland Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14 Bush Hill Dr, Niantic, Connecticut |
| Authorized Official Name and Position | Heather Hoagland (OWNER AND CLINICIAN) |
| Authorized Official Contact | 2039121933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Hoagland Llc 567 Vauxhall Street Ext Suite 207 Waterford CT 06385-4330 Ph: (203) 912-1933 | Heather Hoagland Llc 14 Bush Hill Dr Niantic CT 06357-1805 Ph: (203) 912-1933 |
| NPI Number | 1992150536 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 05/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992150536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 009364 (Connecticut) | Primary |
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