Organization
HEIDI Y. KWAN PHD PSYCHOLOGIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEIDI KWAN PHD (PSYCHOLOGIST/PRESIDENT)
(805) 415-8468
Entity
Organization
Contact information
Practice address
3585 MAPLE ST STE 255, VENTURA, CA 93003-9147
(805) 650-0657
Mailing address
3585 MAPLE ST STE 255, VENTURA, CA 93003-9147
(805) 650-0657
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
07/13/2024
Last updated
07/13/2024
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