Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL HEFFERNAN, PHD CP
Active Sole ProprietorDR. MICHAEL HEFFERNAN, PHD CP is a Clinical Psychologist healthcare provider located in FULTON, Texas. NPI 1457349920 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · FULTON, TX
Registration Details
- NPI Number
- 1457349920
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2005 (20.843875890451 yrs)
- Last Updated
- Aug 10, 2012
- License
-
22178 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
408 N THIRD STREETFULTON, TX, 78358Browse TX providers · Browse ZIP 78358
- Phone
- 3614636115
- Primary Specialty
-
Clinical Psychologist
103TC0700X
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.