Individual
BRAD ROBERT HEINZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
1556 LAMONT NORWOOD RD, PITTSBORO, NC 27312-7194
(919) 929-8379
Mailing address
1556 LAMONT NORWOOD RD, PITTSBORO, NC 27312-7194
(919) 929-8379
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1478
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0358A
BLUE CROSS BLUE SHIELD OF NORTH CAROLINA
NC
05
—
6000777
—
NC
Enumeration date
01/03/2006
Last updated
04/02/2015
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