Individual
DR. TIMOTHY JOHN HEITZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5520 PARK AVE, SUITE 206, TRUMBULL, CT 06611-3463
(203) 612-0908
Mailing address
282 HOMELAND ST, FAIRFIELD, CT 06825-1526
(203) 612-0908
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002674
CT
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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