Organization
DR RICHARD HEISE LLC
Active
Other names
Dr Richard Heise LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALLEN HEISE (PHD)
(636) 730-0596
Entity
Organization
Contact information
Practice address
111 W PORT PLZ STE 600, SAINT LOUIS, MO 63146-3015
(314) 399-9707
(314) 474-0119
Mailing address
111 W PORT PLZ STE 600, SAINT LOUIS, MO 63146-3015
(314) 399-9707
(314) 474-0119
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
09/06/2023
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