Individual
DR. HEIDI Y KWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3585 MAPLE ST, STE 255, VENTURA, CA 93003-9147
(805) 650-0657
(805) 654-1098
Mailing address
3585 MAPLE ST, STE 255, VENTURA, CA 93003-9147
(805) 650-0657
(805) 654-1098
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY15019
CA
Other
Enumeration date
08/31/2006
Last updated
06/23/2020
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