Individual provider · Type 1 NPI
Ellen Ruth Heavner
Psychologist · Annapolis, MD
Practice location
2644 Riva Rd
Annapolis, MD 21401-7427
Mailing address
21 Donzi Ct
Severna Park, MD 21146-4825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | CER-196713-K8H3C9 (MD) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1710892880
Ellen Ruth Heavner's National Provider Identifier is 1710892880, issued on Aug 14, 2026. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Annapolis, MD. The record was last updated on Aug 14, 2026.