Individual
THOMAS REYNOLDS HEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
27 WYNNEWOOD DR N, WYNNE, AR 72396-1803
(870) 238-3175
Mailing address
27 WYNNEWOOD DR N, WYNNE, AR 72396-1803
(870) 238-3175
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
76-20P
AR
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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