Individual
DR. CAROLYN JAYNE HEINEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2001 HUDSON AVE, KALAMAZOO, MI 49008-1889
(269) 345-7101
(269) 341-9735
Mailing address
2001 HUDSON AVE, KALAMAZOO, MI 49008-1889
(269) 345-7101
(269) 341-9735
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
20042009A
IN
103TC1900X
Counseling Psychologist
Primary
6301013201
MI
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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