Heather Heth, ED.S.
Individual provider Active NPI School Psychologist · Lusk, WY
NPI 1104555820 · NPPES record last updated Jun 8, 2022
Key facts
- NPI
- 1104555820
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 74040 (WY)
- Practice address
- 619 West 5TH Street
Lusk, WY 82225-8222 - Phone
- (307) 334-2224
- NPI assigned
- Jun 8, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74040 | WY | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Niobrara County School District #1 | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 74040 | WY | Yes |
Addresses
Primary practice location
619 West 5TH Street
Lusk, WY 82225-8222
Mailing address
PO Box 629
Lusk, WY 82225-0629
Phone (307) 334-2224
Other providers in Lusk, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.