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Individual

DR. HEIDI J. MCKENZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT, PSY.D

Contact information

Practice address
4232 NORTHERN PIKE, SUITE 201, MONROEVILLE, PA 15146-2732
(412) 663-0062
Mailing address
4232 NORTHERN PIKE, SUITE 201, MONROEVILLE, PA 15146-2732
(412) 663-0062

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016702
PA
106H00000X
Marriage & Family Therapist
40336
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1024635790001
PA
Enumeration date
07/13/2007
Last updated
12/25/2011
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