Individual
DR. MATTHEW HEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
300 COLLEGE PARK AVE, DAYTON, OH 45469-0910
(937) 607-1469
Mailing address
300 COLLEGE PARK AVE, DAYTON, OH 45469-0910
(937) 607-1469
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6872
OH
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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