Organization
HEINZ PSYCHOLOGICAL SERVICES LTD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARLAN R HEINZ PHD (OWNER)
(715) 834-3171
Entity
Organization
Contact information
Practice address
826 S HASTINGS WAY, EAU CLAIRE, WI 54701-3426
(715) 834-3171
(715) 834-3174
Mailing address
826 S HASTINGS WAY, EAU CLAIRE, WI 54701-3426
(715) 834-3171
(715) 834-3174
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42156200
—
WI
Enumeration date
09/20/2006
Last updated
08/22/2020
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