Individual
DR. AMY KRISTIANA HEESACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1551 JENNINGS MILL RD UNIT 2000B, WATKINSVILLE, GA 30677-7252
(706) 460-3105
Mailing address
1551 JENNINGS MILL RD UNIT 2000B, WATKINSVILLE, GA 30677-7252
(706) 460-3105
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003495
GA
Other
Enumeration date
11/08/2011
Last updated
12/07/2020
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