NPI | 1518261411 |
---|---|
Former Name | SHARON M HEFFNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016933) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS016933) |
103G00000X Clinical Neuropsychologist (Licence: PA PS016933) | |
Enumeration Date | 2011-01-06 |
Last Update Date | 2017-11-08 |