Individual
CLIFFORD RAMBO HEEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4728 SPOTTSWOOD AVE, #361, MEMPHIS, TN 38117-4817
(901) 763-0999
Mailing address
4728 SPOTTSWOOD AVE, #361, MEMPHIS, TN 38117-4817
(901) 763-0999
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
P001687
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3688272
—
TN
01
—
P001687
PSYCHOLOGY LICENSE
TN
Enumeration date
06/17/2006
Last updated
12/28/2010
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