Individual
HEATHER NICOLE RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2888 LOKER AVE E STE 309, CARLSBAD, CA 92010-6686
(760) 691-1513
(855) 568-2494
Mailing address
18726 S WESTERN AVE STE 408, GARDENA, CA 90248-3858
(310) 856-0800
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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