Individual
NICHOLE HEIDELBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2304 MEMORIAL PKWY SW, HUNTSVILLE, AL 35801-6522
(256) 519-9994
Mailing address
2304 MEMORIAL PKWY SW, HUNTSVILLE, AL 35801-6522
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1780
AL
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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