Carolyn J Heineman PHD LLC
Carolyn J Heineman PHD LLC provides Clinical Psychologist services in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2011.
- Licensed in
- MI
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5228 Lovers Ln Ste 104Portage, MI 49002-1521 Not confirmed with CMS for 15 years — call before visiting
Phone: (269) 345-7101
Fax: (269) 345-7101
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 6301013201 (MI) |
|---|
Record details
| NPI number | 1689965329 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carolyn Heineman — President · (269) 345-7101 |
| NPI enumerated | April 28, 2011 |
| Last updated in NPPES | April 28, 2011 |
| Mailing address | 5228 Lovers Ln, Suite 104, Portage, MI 49002-1521 |
Other providers in Portage
-
Dr. Ollie Garfield Barnes III, EDD
576 Romence Rd Ste 222, Portage, MI 49024-3472 · (269) 207-7373
-
Dr. Eileen Sue Chaffee, PHD
4700 Briarhill Dr, Portage, MI 49024-8130 · (269) 353-3902
-
Courtney Ford, LLC
5900 Portage Rd, Portage, MI 49002-1774 · (269) 806-9679
-
Dr. Erika K. Driver, PSYD
5206 Windyridge Dr, Portage, MI 49002-0513 · (269) 348-1100
-
Courtney Ford
5900 Portage Rd, Portage, MI 49002-1774 · (269) 806-9679