Dr. Nicholas E. Heyneman, PhD
Psychologist, Clinical in Pocatello, ID. Individual provider (NPI-1).
NPI number1043370372
StatusActive
Last updated in NPPESFeb 3, 2014
Details
- NPI
- 1043370372
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicholas E. Heyneman
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2006
- Last updated
- Feb 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY-234 | ID | Yes |
Practice location
850 E Center StSuite A
Pocatello, ID 83201-5737
Phone 208-234-7740 · Fax 208-392-1541
Mailing address
24 Yale StPocatello, ID 83201-3436
Phone 208-234-7740 · Fax 208-392-1541
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