Individual
AMY HEBERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 MAIN ST, WORCESTER, MA 01610-1400
(937) 638-2336
Mailing address
950 MAIN ST, WORCESTER, MA 01610-1400
(937) 638-2336
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10980
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/23/2013
Last updated
02/05/2020
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