Individual
DR. HEIDI HEIMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2015 E NEWPORT AVE, SUITE 409, MILWAUKEE, WI 53211-2984
(414) 259-3900
(414) 963-0000
Mailing address
PO BOX 11947, MILWAUKEE, WI 53211-0947
(414) 259-3900
(414) 963-0000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2592-057
WI
103T00000X
Psychologist
6301009248
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39151300
—
WI
Enumeration date
08/30/2006
Last updated
07/08/2007
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