Donna M.L. Heretick in Glendale - Psychologist
Donna M.L. Heretick - NPI 1417163528
Donna M.L. Heretick is a Psychologist in Glendale, Arizona. Donna M.L. Heretick practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Donna M.L. Heretick is 1417163528. The last update date is 2007-07-08.
Donna M.L. Heretick's current location address is 6451 W Prickly Pear Trl, Glendale, Arizona. You can contact this provider via phone number 6233622030. The mailing address for Donna M.L. Heretick is 6451 W Prickly Pear Trl, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donna M.L. Heretick |
|---|---|
| Address | 6451 W Prickly Pear Trl, Glendale, Arizona |
| Phone Number | 6233622030 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1417163528 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6451 W Prickly Pear Trl |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 853101023 |
| Phone Number | 6233622030 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 3747 |
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Definition: 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 proce |
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Post Comment/ Review Below
What is the unique identifier code issued to Donna M.L. Heretick by the Centers for Medicare & Medicaid Services (CMS)?
The Donna M.L. Heretick has been assigned the NPI (National Provider Identifier) 1417163528. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Donna M.L. Heretick is physically located?
The Donna M.L. Heretick is situated at the following address: 6451 W Prickly Pear Trl, Glendale, AZ 853101023.
What is Donna M.L. Heretick's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Donna M.L. Heretick is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417163528 to Donna M.L. Heretick?
The Centers for Medicare & Medicaid Services originally issued the 1417163528 to Donna M.L. Heretick on 2007-05-15.
When was the information pertaining to Donna M.L. Heretick most recently updated or revised?
The details related to Donna M.L. Heretick, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1336142389
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