Individual
DR. ELIZABETH HEIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
301 BROADWAY ST, KING CITY, CA 93930-3130
(831) 596-8194
(831) 385-8100
Mailing address
PO BOX 1226, KING CITY, CA 93930-1226
(831) 596-8194
(831) 385-8100
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY 15290
CA
103TC0700X
Clinical Psychologist
Primary
PSY 15290
CA
Other
Enumeration date
11/09/2006
Last updated
01/20/2023
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