Individual
DR. JULIA HEAVNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
636 PICCADILLY RD, TOWSON, MD 21204-3803
(443) 290-8890
Mailing address
832 S LUZERNE AVE, BALTIMORE, MD 21224-3733
(404) 358-0299
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
07037
MD
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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