Individual
DR. ANDREW GARRETT HEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1721 W YOSEMITE AVE, MANTECA, CA 95337-5130
(209) 825-3700
Mailing address
1721 W YOSEMITE AVE, MANTECA, CA 95337-5130
(209) 824-6248
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY33984
CA
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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