Doctor Name: | DR. CAROLYN A. HEIER |
NPI Number: | 1053467084 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PSY20218 |
Business Practice Address: | 12821 Victory Blvd N Hollywood, CA - 916063012 |
Business Phone Number: | 8184325025 |
Business Fax Number: | 8187663926 |
Mailing Address: | 12821 Victory Blvd, N HOLLYWOOD |
State: | CA |
Postal Code: | 916063012 |
Phone Number: | 8184325025 |
Fax Number: | 8187663926 |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 01/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY20218 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |