Individual
MR. JAMES PAUL HEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
1540 CAPITOL DR, SUITE 104, GREEN BAY, WI 54303-2235
(920) 491-9800
(920) 491-9800
Mailing address
1540 CAPITOL DR, SUITE 104, GREEN BAY, WI 54303-2235
(920) 491-9800
(920) 491-9800
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
970057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39081000
—
WI
Enumeration date
07/31/2007
Last updated
07/31/2007
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