Heenan, Phyllis C.

Heenan, Phyllis C. is an sole proprietor health care provider with primary practice located at 47 Knollwood Dr , Aptos CA 95003-3401. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Heenan, Phyllis C. can be contacted via phone (831) 428-3771.

Contact Information

Primary practice address
47 Knollwood Dr Aptos CA 95003-3401
Phone: (831) 428-3771
Fax: (831) 661-5197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW9057 California

Profile Details

NPI number 1225167398
LBN Legal business name Heenan, Phyllis C.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Jun 15th, 2021 - about 3 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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