Heindselman, Tracy Lee
Heindselman, Tracy Lee is an sole proprietor health care provider with primary practice located at 1908 Business Center Dr Suite 220, San Bernardino CA 92408-3436. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Heindselman, Tracy Lee can be contacted via phone (909) 890-5930.Contact Information
Primary practice address
1908 Business Center Dr Suite 220
San Bernardino CA 92408-3436
Phone: (909) 890-5930
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY20744 | California |
Profile Details
| NPI number | 1518008697 |
|---|---|
| LBN Legal business name | Heindselman, Tracy Lee |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Oct 1st, 2008 - about 16 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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