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Individual
DR. HEATH KILGORE
Active
Individual
DR. HEATH KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
PSY-003781
AZ
103TB0200X
Cognitive & Behavioral Psychologist
PSY-003781
AZ
103TC0700X
Clinical Psychologist
PSY-003781
AZ
103TC1900X
Counseling Psychologist
PSY-003781
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100234
—
AZ
Enumeration date
06/15/2006
Last updated
05/28/2025
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