Individual
DR. JAY HEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4515 SOUTHLAKE PKWY STE 200, HOOVER, AL 35244-3319
(205) 313-7246
(205) 939-1911
Mailing address
4515 SOUTHLAKE PKWY STE 200, HOOVER, AL 35244-3319
(205) 313-7246
(205) 939-1911
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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