Individual
MRS. JUDITH KAY HEINZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN LPC
Contact information
Practice address
315 ST LUKES DR, MONTGOMERY, AL 36117
(334) 409-9242
(334) 409-9163
Mailing address
315 SAINT LUKES DR, MONTGOMERY, AL 36117-7109
(334) 409-9242
(334) 409-7308
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1452
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51099445
AMERICAN BEHAVIORAL
AL
01
—
51500916
BC FED
AL
Enumeration date
01/30/2007
Last updated
05/31/2011
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