Eynon, Heidi Jo

Eynon, Heidi Jo is an individual health care provider with primary practice located at 1213 Don Gaspar Ave , Santa Fe NM 87505-0625. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Eynon, Heidi Jo can be contacted via phone (505) 577-1025.

Contact Information

Primary practice address
1213 Don Gaspar Ave Santa Fe NM 87505-0625
Phone: (505) 577-1025
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LCP 330 Kansas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0114111 New Mexico

Profile Details

NPI number 1508925389
LBN Legal business name Eynon, Heidi Jo
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2006
Last updated Feb 28th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508925389 NPPES
New Mexico MEDICAID 54580781

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