| Doctor Name: | HEIDI DORAN |
| NPI Number: | 1104099696 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | TLLP |
| License Number: | 6301015035 |
| Business Practice Address: | 1500 Caberfae Hwy Manistee, MI - 496608902 |
| Business Phone Number: | 2317238272 |
| Business Fax Number: | |
| Mailing Address: | 1500 Caberfae Hwy, MANISTEE |
| State: | MI |
| Postal Code: | 496608902 |
| Phone Number: | 2317238272 |
| Fax Number: | |
| NPI Enumeration Date: | 04/07/2008 |
| NPI Last Update Date: | 12/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TR0400X |
| License Number: | 6301015035 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |