Individual
HEATHER E MAGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4404 S FLORIDA AVE, SUITE 3, LAKELAND, FL 33813-2169
(863) 709-8110
(863) 709-8118
Mailing address
4404 S FLORIDA AVE, SUITE 3, LAKELAND, FL 33813-2169
(863) 709-8110
(863) 709-8118
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
691
NE
103T00000X
Psychologist
Primary
PY8345
FL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8172
—
NE
Enumeration date
07/11/2007
Last updated
03/29/2012
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