Individual
DR. THOMAS L. HEISKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
806 6TH ST, SUITE 312, PORTSMOUTH, OH 45662-4158
(740) 353-5033
(740) 353-5033
Mailing address
1132 29TH ST, PORTSMOUTH, OH 45662-2231
(740) 353-3464
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3163
OH
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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