Individual
AUDREY DAVIDHEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
15335 MORRISON ST STE 315, SHERMAN OAKS, CA 91403-1589
(818) 985-1211
Mailing address
15335 MORRISON ST STE 315, SHERMAN OAKS, CA 91403-1589
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY22815
CA
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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