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William Fredrick Heineke, EDD
Clinical Psychologist in Gillette, Wyoming
NPI 1083751416

William Fredrick Heineke is a Clinical Psychologist based in Gillette, WY and is specialized in Clinical. William Fredrick Heineke practices in Gillette, WY and has the professional credentials of EDD. The NPI Number for William Fredrick Heineke is 1083751416 and holds a License No. PSYCHOLOGIST 423 (Wyoming).

The current practice location address for William Fredrick Heineke is 311 S Gillette Ave Ste 204, Gillette, WY and can be reached out via phone at 307-299-2001.

Location: 311 S Gillette Ave Ste 204, Gillette, WY, 82717-3246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083751416
Provider Name
William Fredrick Heineke
Credential
EDD
Provider Entity Type
Individual
Gender
Male
Address
311 S Gillette Ave Ste 204, Gillette, WY, 82717-3246
Phone Number
307-299-2001
Fax Number
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
220179800 05 WY
131573100 05 WY
institution
Provider Business Practice Location Address Details
Address
311 S Gillette Ave Ste 204
City
Gillette
State
Wyoming
Zip
82716-3709
Phone Number
307-299-2001
Fax Number
person
Provider Business Mailing Address Details
Address
311 S Gillette Ave Ste 204
City
Gillette
State
Wyoming
Zip
82716-3709
Phone Number
307-299-2001
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LMFT 53 (Wyoming)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSYCHOLOGIST 423 (Wyoming)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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