Individual
DR. HEATHER NICOLE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
650 JOEL DR., FORT CAMPBELL, KY 42223-8262
(270) 798-8437
(270) 412-9527
Mailing address
650 JOEL DR., FORT CAMPBELL, KY 42223-8262
(270) 798-8437
(270) 412-9527
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2815
TN
103TC0700X
Clinical Psychologist
Primary
KY-129385
KY
Other
Enumeration date
11/13/2008
Last updated
03/19/2026
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