Nicholas E. Heyneman PHD

NPI 1043370372 - Psychologist - 103TC0700X

NPI Details
NPI 1043370372
Gender Male
Enumeration Date 12/08/2006
Last Updated 02/03/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
850 E CENTER ST
SUITE A
POCATELLO ID, 83201-5737, US
Phone (208) 234-7740
Fax (208) 392-1541
Business Location
24 YALE ST
POCATELLO ID, 83201-3436, US
Phone (208) 234-7740
Fax (208) 392-1541
Toxanomy
Taxonomy Code 103TC0700X
License State Idaho
License Number PSY-234
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According to our database, Dr. Nicholas E. Heyneman PHD NPI is 1043370372, taxonomy code is 103TC0700X and license number is PSY-234, license state is located at Idaho. Nicholas E. Heyneman PHD physically located at 850 E Center St, Pocatello ID, 83201-5737. NPI Number Nicholas E. Heyneman PHD has the Individual type.

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1043370372 NPI number is provided on an as is basis without warranty of any kind. 1043370372 is maintained by the National Plan & Provider Enumeration System. The contents of Nicholas E. Heyneman PHD are for informational purposes only.