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Individual

DR. VIOLET HEISE

Active
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Individual

DR. VIOLET HEISE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
4254
AZ
103TA0700X
Adult Development & Aging Psychologist
4254
AZ
103TB0200X
Cognitive & Behavioral Psychologist
4254
AZ
103TC0700X
Clinical Psychologist
Primary
4254
AZ
103TC1900X
Counseling Psychologist
4254
AZ
103TP2701X
Group Psychotherapy Psychologist
4254
AZ

Other

Enumeration date
06/25/2012
Last updated
07/25/2012
Update your record

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