Individual
DR. JAY HEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1372
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051532520
BCBS AL
AL
01
—
167883900
US DEPT OF LABOR
—
Enumeration date
01/16/2007
Last updated
10/31/2017
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