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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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