Thomas Edward Heinzen

NPI 1073559951 - Psychologist - 103TC0700X

NPI Details
NPI 1073559951
Gender Male
Enumeration Date 06/21/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
476 CHRISTIAN HERALD RD
VALLEY COTTAGE NY, 10989-2230, US
Phone (845) 268-6861
Fax
Business Location
905 BLOOMFIELD AVE
GLEN RIDGE NJ, 07028-1329, US
Phone (973) 748-0622
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State New York
License Number 68 012043
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According to our database, Dr. Thomas Edward Heinzen NPI is 1073559951, taxonomy code is 103TC0700X and license number is 68 012043, license state is located at New York. Thomas Edward Heinzen physically located at 476 Christian Herald Rd, Valley Cottage NY, 10989-2230. NPI Number Thomas Edward Heinzen has the Individual type.

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1073559951 NPI number is provided on an as is basis without warranty of any kind. 1073559951 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Edward Heinzen are for informational purposes only.