Individual
DAVID HEFTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D. MT
Contact information
Practice address
1041 45TH ST, WEST PALM BEACH, FL 33407-2402
(561) 383-8000
(561) 514-1275
Mailing address
1041 45TH ST, WEST PALM BEACH, FL 33407-2402
(561) 383-8000
(561) 514-1275
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT1729
STATE LICENSE NUMBER
FL
Enumeration date
11/28/2006
Last updated
07/08/2007
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