Individual
DR. GERALD HENRY HEISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1316 OLD 63 S, 101, COLUMBIA, MO 65201-6092
(573) 823-0710
Mailing address
3108 S OLD RIDGE RD, COLUMBIA, MO 65203-9547
(573) 445-8545
(573) 884-1070
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MISSOURI 105
MO
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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