Individual
THOMAS WILLIAM HEITKEMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1550 YANKEE PARK PL, STE A, CENTERVILLE FINANCE, OH 45458-1868
(937) 439-4949
(937) 439-4948
Mailing address
1550 YANKEE PARK PL, STE A, CENTERVILLE FINANCE, OH 45458-1868
(937) 439-4949
(937) 439-4948
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4086
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0934261
—
OH
Enumeration date
01/09/2007
Last updated
07/09/2007
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