Knipe Laird, Heidi D

Knipe Laird, Heidi D is an individual health care provider with primary practice located at 1325 Auto Plaza Dr Suite 110, San Bernardino CA 92408. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Knipe Laird, Heidi D can be contacted via phone (909) 885-0411.

Contact Information

Primary practice address
1325 Auto Plaza Dr Suite 110 San Bernardino CA 92408
Phone: (909) 885-0411
Fax: (951) 784-1841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X CA PSY 10935 California

Profile Details

NPI number 1659430577
LBN Legal business name Knipe Laird, Heidi D
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659430577 NPPES
California Other 33BE10 RIVERSIDE COUNTY DCS
California MEDICAID 9455029 RIVERSIDE COUNTY DCS

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