Provider Information for 1427409028
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ERIN HEINEY Au.D.
Sex: Female
NPI: 1427409028
Last Updated: 2023-01-30
Certification Date: 2023-01-30
Certification Date: 2023-01-30
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1427409028 | ||||||||||||||
| Enumeration Date | 2016-06-24 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 263 FARMINGTON AVE FARMINGTON, CT 06030-8082 United States Phone: | Fax: | ||||||||||||||
| Primary Practice Address | 263 FARMINGTON AVE FARMINGTON, CT 06030 United States Phone: 860-679-2804 | Fax: | ||||||||||||||
| Secondary Practice Address(es) | 55 LAKE AVE N | ||||||||||||||
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