Individual
DR. HEIDI RACHELLE TENNYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1505 SHAKESPEARE DR, CENTRALIA, WA 98531-8501
(360) 360-5044
(360) 360-2362
Mailing address
1121 HARRISON AVE # 269, CENTRALIA, WA 98531-1852
(360) 360-5044
(360) 360-2362
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY203058
ID
103TC0700X
Clinical Psychologist
Primary
PY60217255
WA
Other
Enumeration date
09/03/2007
Last updated
09/04/2025
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