Individual
VALERIE K HEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
2503 S JACKSON AVE, JOPLIN, MO 64804-1941
(417) 782-1910
(417) 782-1844
Mailing address
2503 S JACKSON AVE, JOPLIN, MO 64804-1941
(417) 782-1910
(417) 782-1844
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2009012869
MO
103TC0700X
Clinical Psychologist
53
AK
Other
Enumeration date
03/02/2007
Last updated
06/02/2009
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