Individual
LISA HEIMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1762 CENTURY BLVD NE STE B, ATLANTA, GA 30345-3393
(404) 633-0250
(404) 475-0331
Mailing address
1762 CENTURY BLVD NE STE B, ATLANTA, GA 30345-3393
(404) 633-0250
(404) 475-0331
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
972
GA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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