Individual
MARGARET M HEFFERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
927 S 8TH ST, STE 307A, MANITOWOC, WI 54220-4542
(920) 683-2090
Mailing address
1001 W GLEN OAKS LN, SUITE 170, MEQUON, WI 53092-3365
(414) 365-3210
(414) 365-2937
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
267EUW
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39146900
—
WI
Enumeration date
08/01/2006
Last updated
01/13/2016
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