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Carolyn J Heineman Phd Llc
Clinical Psychologist in Portage, Michigan
NPI 1689965329

Carolyn J Heineman Phd Llc is a Clinical Psychologist based in Portage, MI and is specialized in Clinical. Carolyn J Heineman Phd Llc practices in Portage, MI. The NPI Number for Carolyn J Heineman Phd Llc is 1689965329 and holds a License No. 6301013201 (Michigan).

The current practice location address for Carolyn J Heineman Phd Llc is 5228 Lovers Ln, Portage, MI and can be reached out via phone at 269-345-7101 and via fax at 269-345-7101.

Location: 5228 Lovers Ln, Portage, MI, 49002-1521
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689965329
Provider Name
Carolyn J Heineman Phd Llc
Credential
Provider Entity Type
Organization
Address
5228 Lovers Ln, Portage, MI, 49002-1521
Phone Number
269-345-7101
Fax Number
269-345-7101
Provider Enumeration Date
04/28/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5228 Lovers Ln
City
Portage
State
Michigan
Zip
49002-1521
Phone Number
269-345-7101
Fax Number
269-345-7101
person
Provider Business Mailing Address Details
Address
5228 Lovers Ln
City
Portage
State
Michigan
Zip
49002-1521
Phone Number
269-345-7101
Fax Number
269-345-7101
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
6301013201 (Michigan)
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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