| NPI | 1558657973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JAMES HEID Sole Proprietor 609-933-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NJ 35S100404000) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |