| Doctor Name: | MRS. MARY DENISE HEISS |
| NPI Number: | 1821236746 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MED |
| License Number: | |
| Business Practice Address: | 440 S 7th St Williams, AZ - 860462327 |
| Business Phone Number: | 9286354474 |
| Business Fax Number: | 9286352796 |
| Mailing Address: | 440 S 7th St, WILLIAMS |
| State: | AZ |
| Postal Code: | 860462327 |
| Phone Number: | 9286354474 |
| Fax Number: | 9286352796 |
| NPI Enumeration Date: | 01/30/2009 |
| NPI Last Update Date: | 01/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |