Individual
DR. HEIDI KLEIN MINNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
21 TAMAL VISTA BLVD., SUITE 218, CORTE MADERA, CA 94925
(415) 457-1793
Mailing address
3 MADRONE AVE., KENTFIELD, CA 94904
(415) 457-1793
(415) 485-6897
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY12381
CA
103TC0700X
Clinical Psychologist
Primary
PSY12381
CA
Other
Enumeration date
10/05/2006
Last updated
09/11/2025
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