Organization
AMY K HEESACKER, PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY K HEESACKER PHD (LICENSED PSYCHOLOGIST)
(706) 460-3105
Entity
Organization
Contact information
Practice address
1551 JENNINGS MILL RD UNIT 2000B, WATKINSVILLE, GA 30677-7252
(706) 460-3105
Mailing address
1551 JENNINGS MILL RD UNIT 2000B, WATKINSVILLE, GA 30677-7252
(706) 460-3105
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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