Individual
HEIDY ANEIKA LORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3803 N 5TH ST, PHILADELPHIA, PA 19140-3337
(215) 539-2473
Mailing address
43 MONROE DR APT 2, MAPLE SHADE, NJ 08052-7436
(856) 308-5569
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6002338
ZZ
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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