Organization · Type 2 NPI

Carolyn J Heineman PHD LLC

Clinical Psychologist · Portage, MI

NPI number 1689965329 Active

Practice location

5228 Lovers Ln, Suite 104
Portage, MI 49002-1521

Call (269) 345-7101 Map

Fax (269) 345-7101

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X6301013201 (MI)

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…

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About NPI 1689965329

Carolyn J Heineman PHD LLC's National Provider Identifier is 1689965329, issued on Apr 28, 2011. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Portage, MI. The record was last updated on Apr 28, 2011.