Individual
ELLEN RUTH HEAVNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2644 RIVA RD, ANNAPOLIS, MD 21401-7427
(410) 222-5000
Mailing address
21 DONZI CT, SEVERNA PARK, MD 21146-4825
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
CER-196713-K8H3C9
MD
Other
Enumeration date
08/14/2026
Last updated
08/14/2026
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