Individual
HEIKE M MINNICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
701 GROVE RD, SUITE 200, GREENVILLE, SC 29605-4210
(864) 455-8431
(864) 455-8981
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1306
SC
103TC2200X
Clinical Child & Adolescent Psychologist
20041855
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200509230
—
IN
Enumeration date
08/25/2006
Last updated
05/22/2014
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