Individual
MARK E HEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CLINICAL PSYCH
Contact information
Practice address
6548 TOWN CENTER DR, CLARKSTON, MI 48346-4823
(248) 460-9731
Mailing address
4041 ARDSLEY CT, CLARKSTON, MI 48348-5059
(757) 589-1233
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2664
NC
103TC0700X
Clinical Psychologist
Primary
6301019013
MI
Other
Enumeration date
02/03/2006
Last updated
11/17/2021
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