Laurie Heatherington, PH.D.

Individual provider Active NPI Clinical Psychologist · Williamstown, MA

NPI 1306331335 · NPPES record last updated Jun 22, 2018

Key facts

NPI
1306331335
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
3761 (MA)
Practice address
25 Stetson Court
Williamstown
Williamstown, MA 01267
Phone
(413) 441-9809
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3761MAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3761 MA Yes

Addresses

Primary practice location

25 Stetson Court
Williamstown
Williamstown, MA 01267

Mailing address

25 Stetson Court
Williamstown
Williamstown, MA 01267
Phone (413) 441-9809

Other providers in Williamstown, MA

All providers in Williamstown, MA · Clinical Psychologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.