| Doctor Name: | DR. KATHLEEN T. HEINLEN |
| NPI Number: | 1154575306 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., PCC-S |
| License Number: | E.0004360 |
| Business Practice Address: | 20525 Center Ridge Rd Ste 501 Rocky River, OH - 441163435 |
| Business Phone Number: | 4403332106 |
| Business Fax Number: | |
| Mailing Address: | 20525 Center Ridge Rd Ste 501, ROCKY RIVER |
| State: | OH |
| Postal Code: | 441163435 |
| Phone Number: | 4403332106 |
| Fax Number: | |
| NPI Enumeration Date: | 11/13/2008 |
| NPI Last Update Date: | 11/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E.0004360 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |