Individual
LINDA HEITZMAN-POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD.
Contact information
Practice address
304 WEST ST, TONGANOXIE, KS 66086-9714
(913) 471-7061
(913) 471-7062
Mailing address
PO BOX 252, 304 WEST STREET, TONGANOXIE, KS 66086-0252
(913) 471-7061
(913) 471-7062
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-01-0627
—
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LP1216
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00118206
BLUE CROSS BLUE SHIELD
KS
05
—
100640840
—
KS
Enumeration date
07/27/2006
Last updated
11/04/2008
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