Individual
MARK F HEILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4542 WEST PINE BLVD, ST LOUIS, MO 63108
(314) 609-5532
Mailing address
4542 WEST PINE BLVD, ST LOUIS, MO 63108
(314) 609-5532
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2009018630
MO
Other
Enumeration date
02/28/2006
Last updated
02/23/2012
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