Corinne Heimer
Psychologist in San Rafael, CA. Individual provider (NPI-1).
NPI number1164044483
StatusActive
Last updated in NPPESJan 3, 2022
Details
- NPI
- 1164044483
- Entity type
- Individual (NPI-1)
- Name
- Corinne Heimer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2020
- Certification date
- May 8, 2020
- Last updated
- Jan 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 31759 | CA | Yes |
Practice location
111 Smith Ranch RdSan Rafael, CA 94903-1939
Phone 415-491-3000
Mailing address
111 Smith Ranch RdSan Rafael, CA 94903-1939
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