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Individual

JENNIFER A HEINEMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
9200 W WISCONSIN AVE, DEPT OF PSYCHIATRY, MILWAUKEE, WI 53226-3522
(414) 805-3666
(414) 955-6282
Mailing address
9200 W WISCONSIN AVE, DEPT OF PSYCHIATRY, MILWAUKEE, WI 53226-3522
(414) 805-3666
(414) 955-6282

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2333
WI
103TH0004X
Health Psychologist
2333-057
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39134400
WY
Enumeration date
05/23/2006
Last updated
10/24/2022
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