Individual
HEATHER MAE CALKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
3230 W WILDWOOD DR, GRAND ISLAND, NE 68801-9609
(308) 381-8851
(308) 381-8853
Mailing address
2313 N WEBB RD, GRAND ISLAND, NE 68803-1743
(308) 381-8851
(308) 381-8853
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5761
NE
103T00000X
Psychologist
Primary
1116
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026522520
—
NE
Enumeration date
05/13/2020
Last updated
03/03/2023
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