Individual
DAVID HEIDENREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4755 KINGSWAY DR, SUITE 2, INDIANAPOLIS, IN 46205-1549
(317) 253-3791
(317) 253-6150
Mailing address
PO BOX 4323, TERRE HAUTE, IN 47804-0323
(812) 231-8323
(812) 231-8400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000017
IN
Other
Enumeration date
05/05/2006
Last updated
03/15/2011
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