Individual
DR. HEATHER AYN INDELICATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504-0589
(928) 729-8500
Mailing address
PO BOX 3952, FORT DEFIANCE, AZ 86504-3952
(954) 822-9494
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020302
NY
Other
Enumeration date
10/29/2013
Last updated
02/20/2017
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