Individual
DR. NICHOLAS B HEINECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4251 NORTHERN AVE, KANSAS CITY, MO 64133-1593
(816) 861-4700
Mailing address
4251 NORTHERN AVE, KANSAS CITY, MO 64133-1593
(816) 861-4700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2009034689
MO
Other
Enumeration date
04/27/2010
Last updated
12/02/2022
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