Heesacker, Amy Kristiana
Heesacker, Amy Kristiana is an sole proprietor health care provider with primary practice located at 1551 Jennings Mill Rd Unit 2000B , Watkinsville GA 30677-7252. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Heesacker, Amy Kristiana can be contacted via phone (706) 460-3105.Contact Information
Primary practice address
1551 Jennings Mill Rd Unit 2000B
Watkinsville GA 30677-7252
Phone: (706) 460-3105
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY003495 | Georgia |
Profile Details
| NPI number | 1255618054 |
|---|---|
| LBN Legal business name | Heesacker, Amy Kristiana |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2011 |
| Last updated | Dec 7th, 2020 - about 5 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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