Heron, Elizabeth Ann
Heron, Elizabeth Ann is an individual health care provider with primary practice located at 2200 Bergquist Dr Ste 1 , Lackland Afb TX 78236-9908. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Heron, Elizabeth Ann can be contacted via phone (210) 671-2032.Contact Information
Primary practice address
2200 Bergquist Dr Ste 1
Lackland Afb TX 78236-9908
Phone: (210) 671-2032
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY 10917 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 10917 | California |
Profile Details
NPI number | 1700857612 |
---|---|
LBN Legal business name | Heron, Elizabeth Ann |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 30th, 2006 |
Last updated | Feb 26th, 2008 - about 17 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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