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Organization
MARK C HEFFERNAN PHD A PSYCHOLOGICAL CORPORATION
Active
Organization
MARK C HEFFERNAN PHD A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK C HEFFERNAN (OWNER)
(760) 328-2286
Entity
Organization
Contact information
Practice address
47 PROVENCE WAY, RANCHO MIRAGE, CA 92270-2727
(760) 328-2286
Mailing address
PO BOX 2128, RANCHO MIRAGE, CA 92270-1055
(760) 328-2286
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14471
CA
Other
Enumeration date
11/13/2006
Last updated
11/22/2017
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