Individual
DR. KIMBERLY HESCHELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4250 VETERANS HWY, STE 215, HOLBROOK, NY 11741-4035
(631) 981-5762
(631) 981-5762
Mailing address
4250 VETERANS HWY, STE 215, HOLBROOK, NY 11741-4035
(631) 981-5762
(631) 981-5762
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
012547
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01625167
—
NY
Enumeration date
03/15/2007
Last updated
02/04/2008
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