Individual
KELLY S HEITIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35900 N CHARBRAY DR, SAN TAN VALLEY, AZ 85143-5109
(480) 987-7600
Mailing address
35900 N CHARBRAY DR, SAN TAN VALLEY, AZ 85143-5109
(480) 987-7600
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4384900
AZ
Other
Enumeration date
08/11/2026
Last updated
08/11/2026
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