Doctor Name: | HEIDI NAKAMURA |
NPI Number: | 1063720886 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 73 |
Business Practice Address: | 1303 W Walnut Pkwy Compton, CA - 902205030 |
Business Phone Number: | 3108685379 |
Business Fax Number: | |
Mailing Address: | 1303 W Walnut Pkwy, COMPTON |
State: | CA |
Postal Code: | 902205030 |
Phone Number: | 3108685379 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2010 |
NPI Last Update Date: | 08/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 73 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |