Individual
KIRK W HEIMLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1363 HIGHWAY A1A, SATELLITE BEACH, FL 32937-2407
(321) 777-0119
(321) 773-0810
Mailing address
1363 HIGHWAY A1A, SATELLITE BEACH, FL 32937-2407
(321) 777-0119
(321) 773-0810
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SS863
FL
Other
Enumeration date
09/09/2008
Last updated
03/20/2012
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