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

CAROLYN J HEINEMAN PHD LLC

Active Organization

CAROLYN J HEINEMAN PHD LLC is a Clinical Psychologist organization located in PORTAGE, Michigan. NPI 1689965329 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · PORTAGE, MI

Registration Details

NPI Number
1689965329
Provider Type
Organization
NPI Issued
Apr 28, 2011 (15.112559828243 yrs)
Last Updated
Apr 28, 2011
License
6301013201 (MI)

Practice Information

Address
5228 LOVERS LN
SUITE 104
PORTAGE, MI, 490021521
Browse MI providers · Browse ZIP 49002
Phone
2693457101
Fax
2693457101
Primary Specialty
Clinical Psychologist
103TC0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.