Individual
DR. AMANDA MARIE HEINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4555 W SCHROEDER DR, BROWN DEER, WI 53223-1475
(414) 355-9000
(414) 355-9665
Mailing address
4555 W SCHROEDER DR, BROWN DEER, WI 53223-1475
(414) 355-9000
(414) 355-9665
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101314758
—
WI
01
—
12317640
CAQH
WI
Enumeration date
07/24/2009
Last updated
03/01/2015
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