Individual provider · Type 1 NPI

Michael Heffernan, PHD CP

Clinical Psychologist · Fulton, TX

NPI number 1457349920 Active

Practice location

408 N Third Street
Fulton, TX 78358

Mailing address

PO Box 2321
Fulton, TX 78358-2321

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X22178 (TX)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

About NPI 1457349920

Michael Heffernan, PHD CP's National Provider Identifier is 1457349920, issued on Oct 10, 2005. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fulton, TX. The record was last updated on Aug 10, 2012.