Individual
MS. HEIDI D KNIPE LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1325 AUTO PLAZA DR, SUITE 110, SAN BERNARDINO, CA 92408
(909) 885-0411
(951) 784-1841
Mailing address
PO BOX 5922, 1325 AUTO PLAZE DR SUITE 110, SAN BERNARDINO, CA 92408
(909) 885-0411
(951) 784-1841
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
CA PSY 10935
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33BE10
RIVERSIDE COUNTY DCS
CA
05
—
9455029
—
CA
Enumeration date
12/06/2006
Last updated
07/08/2007
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