| Doctor Name: | MRS. AMY DAWN HEINZ |
| NPI Number: | 1003051590 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | C005317 |
| Business Practice Address: | Bldg 2005 Knight Lane Navy Medicine Support Command Jacksonville, FL - 322120140 |
| Business Phone Number: | 9104503905 |
| Business Fax Number: | 9104504558 |
| Mailing Address: | Box 140 Knight Lane Bldg 2005, Navy Medicine Support Command JACKSONVILLE |
| State: | FL |
| Postal Code: | 32212 |
| Phone Number: | 9104503905 |
| Fax Number: | 9104504558 |
| NPI Enumeration Date: | 12/11/2008 |
| NPI Last Update Date: | 12/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | C005317 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |