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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY L HEENAN, PHD

Active Sole Proprietor

KELLY L HEENAN, PHD is a Marriage & Family Therapist healthcare provider located in CASPER, Wyoming. NPI 1093938839 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · CASPER, WY

Registration Details

NPI Number
1093938839
Provider Type
Individual
Gender
Female
NPI Issued
Apr 10, 2007 (19.300215176139 yrs)
Last Updated
Oct 21, 2011
Licenses
62396 (TX)
LPC - 1073 (WY)
201042 (TX)
LMFT -139 (WY)
Sole Proprietor
Yes

Practice Information

Address
3741 ARROYO DRIVE
CASPER, WY, 82604
Browse WY providers · Browse ZIP 82604
Phone
3074722995
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Professional Counselor
Additional Specialty
Marriage & Family Therapist
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in CASPER, WY

Name Credential NPI
PEGGY SUE HAYES LMFT 1154455293
MR. ROBERT DENIS KNOWLES PSY D 1316123904
DAMA WIMBISH MATCHETT LMFT 1174761340
MRS. GINGER ALLEN TERRY MS, PMFT 1821347527
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.