Heidi Klein Minnick PH.D.

NPI 1093801821 - Psychologist - 103T00000X

NPI Details
NPI 1093801821
Gender Female
Enumeration Date 10/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
21 TAMAL VISTA BLVD.
SUITE 218
CORTE MADERA CA, 94925, US
Phone (415) 457-1793
Fax
Business Location
3 MADRONE AVE.
KENTFIELD CA, 94904, US
Phone (415) 457-1793
Fax (415) 485-6897
Toxanomy
Taxonomy Code 103T00000X
License State California
License Number PSY12381
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According to our database, Dr. Heidi Klein Minnick PH.D. NPI is 1093801821, taxonomy code is 103T00000X and license number is PSY12381, license state is located at California. Heidi Klein Minnick PH.D. physically located at 21 Tamal Vista Blvd., Corte Madera CA, 94925. NPI Number Heidi Klein Minnick PH.D. has the Individual type.

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1093801821 NPI number is provided on an as is basis without warranty of any kind. 1093801821 is maintained by the National Plan & Provider Enumeration System. The contents of Heidi Klein Minnick PH.D. are for informational purposes only.