Nicholas E. Heyneman in Pocatello - Clinical

Nicholas E. Heyneman - NPI 1043370372

Nicholas E. Heyneman is a Clinical in Pocatello, Idaho. Nicholas E. Heyneman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nicholas E. Heyneman is 1043370372. The last update date is 2014-02-03.

Nicholas E. Heyneman's current location address is 24 Yale St, Pocatello, Idaho. You can contact this provider via phone number 2082347740 and fax number 2083921541. The mailing address for Nicholas E. Heyneman is 24 Yale St, Pocatello, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicholas E. Heyneman
Address 24 Yale St, Pocatello, Idaho
Phone Number 2082347740
Fax Number 2083921541
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1043370372
Provider Enumeration Date 2006-12-08
Last Updated Date 2014-02-03

Provider Mailing Address Detail

Address 24 Yale St
City Pocatello
State Idaho (ID)
Post Code 832013436
Phone Number 2082347740
Fax Number 2083921541

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY-234
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10017340 ID REGENCE BLUE SHIELD
N-2340 ID BLUE CROSS

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FAQs about Nicholas E. Heyneman

What is the unique identifier code issued to Nicholas E. Heyneman by the Centers for Medicare & Medicaid Services (CMS)?

The Nicholas E. Heyneman has been assigned the NPI (National Provider Identifier) 1043370372. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Nicholas E. Heyneman located?

The Nicholas E. Heyneman is located at 24 Yale St, Pocatello, ID 832013436.

What is the area of specialization for Nicholas E. Heyneman, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Nicholas E. Heyneman is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1043370372 to Nicholas E. Heyneman?

The Nicholas E. Heyneman received its 1043370372 assignment from the Centers for Medicare & Medicaid Services on 2006-12-08.

When was the Nicholas E. Heyneman's information last updated?

The Nicholas E. Heyneman's information was last updated on 2014-02-03.

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