Individual
DR. CANDICE HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3851 ROGER BROOKE DR, MCHE-QD, FORT SAM HOUSTON, TX 78234-4501
(312) 730-3817
Mailing address
3851 ROGER BROOKE DR, MCHE-QD, FORT SAM HOUSTON, TX 78234-4501
(312) 730-3817
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4124
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4124
PSYCHOLOGIST LICENSE NUMBER
AZ
Enumeration date
03/24/2010
Last updated
09/10/2010
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