Individual provider · Type 1 NPI

Diane Lee Heron, LMT

Specialist · St. Petersburg, FL

NPI number 1295040541 Active

Practice location

105 5th Ave NE
St. Petersburg, FL 33701-3015

Call (727) 238-0595 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA49357 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1295040541

Diane Lee Heron, LMT's National Provider Identifier is 1295040541, issued on Aug 11, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Petersburg, FL. The record was last updated on Aug 11, 2010.