WILLA JEAN HEINRICH


Address: 688 Willoughby Way Ne, Atlanta, GA 30312-1113
Phone: 4046595945

WILLA JEAN HEINRICH (NPI# 1467405530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467405530
Entity Type Individual
Full Name WILLA JEAN HEINRICH
Credential PHD
Practice Address 688 Willoughby Way Ne
Atlanta
GA 30312-1113
Practice Telephone 4046595945
Mailing Telephone 4046595945
Enumeration Date 2006-05-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY000904 GA Behavioral Health & Social Service Providers

Office Location

Street Address 688 WILLOUGHBY WAY NE
City ATLANTA
State GA
Zip Code 30312-1113

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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City ATLANTA
Zip Code 30312

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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