Doctor Name: | ROBYN HEILER |
NPI Number: | 1003208364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 6401014661 |
Business Practice Address: | 120 W Exchange St Owosso, MI - 488672834 |
Business Phone Number: | 9897238239 |
Business Fax Number: | |
Mailing Address: | 120 W Exchange St, OWOSSO |
State: | MI |
Postal Code: | 488672834 |
Phone Number: | 9897238239 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2015 |
NPI Last Update Date: | 02/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401014661 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |