Individual
DR. MARY BETH HELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5931 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
(804) 693-1136
(804) 639-5584
Mailing address
5931 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
(804) 693-1136
(804) 639-5584
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003684
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237695
ANTHEM PROVIDER NUMBER
VA
Enumeration date
09/27/2006
Last updated
07/09/2007
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