Individual
DR. WILLIAM CARL HEITLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D
Contact information
Practice address
2601 MASTERS RD, SULPHUR, OK 73086-9067
(580) 399-6124
(580) 332-7114
Mailing address
2601 MASTERS RD, SULPHUR, OK 73086-9067
(580) 399-6124
(580) 332-7114
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
408
OK
Other
Enumeration date
07/13/2006
Last updated
06/15/2010
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