Individual
HEATHER PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
264 CLOVIS AVE # 104, CLOVIS, CA 93612-1115
(559) 777-9061
Mailing address
264 CLOVIS AVENUE #104, 264 CLOVIS AVENUE #104, CLOVIS, CA 93612
(559) 777-9061
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY31209
CA
103TA0700X
Adult Development & Aging Psychologist
PSY31209
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY31209
CA
103TC0700X
Clinical Psychologist
PSY31209
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY31209
CA
103TR0400X
Rehabilitation Psychologist
PSY31209
CA
Other
Enumeration date
04/01/2014
Last updated
04/21/2021
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