Individual
HEATHER TREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3525 NW 31ST TER, GAINESVILLE, FL 32605-2178
(352) 377-0147
Mailing address
3525 NW 31ST TER, GAINESVILLE, FL 32605-2178
(352) 377-0147
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2195
KS
103T00000X
Psychologist
Primary
2195
KS
103TC1900X
Counseling Psychologist
2195
KS
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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