Individual
NAN SHIRLEY HEINBAUGH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
108 W KIME ST, BURLINGTON, NC 27215-3854
(336) 228-8530
Mailing address
108 W KIME ST, BURLINGTON, NC 27215-3854
(336) 228-8530
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0519
NC
Other
Enumeration date
11/27/2005
Last updated
07/08/2007
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