Individual
SUZANNE HEISTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 ROLLING HILLS DR, SAINT MARYS, OH 45885-9242
(419) 305-0075
Mailing address
709 ROLLING HILLS DR, SAINT MARYS, OH 45885-9242
(419) 305-0075
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OS1025864
OH
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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