Individual
MICHAEL HEPTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1608 ROUTE 88, BRICK, NJ 08724-3009
(800) 774-5516
(856) 429-4755
Mailing address
1255 CALDWELL RD, CHERRY HILL, NJ 08034-3220
(800) 774-5516
(856) 429-4755
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00599500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2016
Last updated
10/04/2018
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