Individual
LIZA JANE HECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1627 WAVERLY ST, PHILADELPHIA, PA 19146-1508
(215) 732-9442
Mailing address
1627 WAVERLY ST, PHILADELPHIA, PA 19146-1508
(215) 732-9442
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS007216L
PA
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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