Individual
HEATHER HOSTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPS, ESA
Contact information
Practice address
13258 ALLISON RANCH RD, GRASS VALLEY, CA 95949-9404
(530) 559-6650
Mailing address
13258 ALLISON RANCH RD, GRASS VALLEY, CA 95949-9404
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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