Individual
BRITAN MARY HEAVRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5819 WINDING LN STE 101, HIXSON, TN 37343-4067
(801) 587-8500
Mailing address
5819 WINDING LN STE 101, HIXSON, TN 37343-4067
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
11987818-2501
UT
103TC0700X
Clinical Psychologist
Primary
3966
TN
Other
Enumeration date
06/29/2021
Last updated
01/31/2025
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