William Fredrick Heineke ED. D.

NPI 1083751416 - Psychologist - 103TC0700X

NPI Details
NPI 1083751416
Gender Male
Enumeration Date 02/01/2007
Last Updated 01/10/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
501 S. BURMA AVE.
GILLETTE WY, 82717, US
Phone (307) 688-5000
Fax (307) 688-5015
Business Location
P.O. BOX 3011
GILLETTE WY, 82717, US
Phone (307) 688-5000
Fax (307) 688-5015
Toxanomy
Taxonomy Code 103TC0700X
License State Wyoming
License Number LPC346
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According to our database, William Fredrick Heineke ED. D. NPI is 1083751416, taxonomy code is 103TC0700X and license number is LPC346, license state is located at Wyoming. William Fredrick Heineke ED. D. physically located at 501 S. Burma Ave., Gillette WY, 82717. NPI Number William Fredrick Heineke ED. D. has the Individual type.

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1083751416 NPI number is provided on an as is basis without warranty of any kind. 1083751416 is maintained by the National Plan & Provider Enumeration System. The contents of William Fredrick Heineke ED. D. are for informational purposes only.