Doctor Name: | DR. WENDY HELLER |
NPI Number: | 1003012790 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 71003954 |
Business Practice Address: | 505 E Green St 3rd Floor, Psychological Services Center Champaign, IL - 618205723 |
Business Phone Number: | 2173330041 |
Business Fax Number: | 2173330064 |
Mailing Address: | 603 E Daniel St, Psychology Dept. Uiuc CHAMPAIGN |
State: | IL |
Postal Code: | 618206232 |
Phone Number: | 2173330041 |
Fax Number: | 2172445876 |
NPI Enumeration Date: | 06/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 71003954 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |