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Individual

DR. ROBERT PAUL HECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
10315 DAWSONS CREEK BLVD, SUITE F, FORT WAYNE, IN 46825-1912
(260) 387-6340
Mailing address
10315 DAWSONS CREEK BLVD, SUITE F, FORT WAYNE, IN 46825-1912
(260) 387-6340

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2004-1203A
IN
103T00000X
Psychologist
5386
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000-000-175-606
BC-BS NON-PAR
IN
01
000-777-2138
AETNA NON-PAR
IN
01
200984000
MAGELLAN BEHAVIORAL
IN
Enumeration date
11/29/2006
Last updated
01/14/2016
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