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1205100054
MARK F HEILAND, PHD, LICENSED PSYCHOLOGIST, LLC
SAINT LOUIS, MO
NPI
1205100054
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Entity Type
Organization
Authorized Contact
MARK F HEILAND
Psychologist
314-609-5532
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MO 2009018630)
Enumeration Date
2012-02-25
Last Update Date
2012-02-25
Business Address
MARK F HEILAND, PHD, LICENSED PSYCHOLOGIST, LLC
4542 W PINE BLVD
SAINT LOUIS, MO 63108-2186
Phone number: 314-609-5532
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Mailing Address
MARK F HEILAND, PHD, LICENSED PSYCHOLOGIST, LLC
4542 WEST PINE BLVD
ST LOUIS, MO 63104
Phone number: 314-609-5532
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