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Individual

DR. KAYLA SUE HEINECKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(816) 372-2297
Mailing address
2305 S PONCA AVE, INDEPENDENCE, MO 64057-2451
(816) 372-2297

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2022050032
MO
103TC0700X
Clinical Psychologist
Primary
PY11261
FL

Other

Enumeration date
09/02/2021
Last updated
04/08/2026
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