Doctor Name: | DR. HEATHER DEE PURCELL |
NPI Number: | 1063489185 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 2570 |
Business Practice Address: | 1061 Harmon Ave Suite 1d03 Fort Stewart, GA - 313145641 |
Business Phone Number: | 9124356965 |
Business Fax Number: | |
Mailing Address: | 1061 Harmon Ave, Winn Army Community Hospital Suite 1d03 FORT STEWART |
State: | GA |
Postal Code: | 313145641 |
Phone Number: | 9124356965 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2006 |
NPI Last Update Date: | 09/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2570 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |