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Individual

ANDREW R HECKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
727 W 2ND ST, BLOOMINGTON, IN 47403-2209
(812) 353-3450
(812) 353-3451
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
8939
NE
103T00000X
Psychologist
812
NE
103TB0200X
Cognitive & Behavioral Psychologist
Primary
20043521A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025550700
NE
05
47037660631
NE
Enumeration date
08/03/2009
Last updated
01/26/2022
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