Heron, Elizabeth Ann

Heron, Elizabeth Ann is an individual health care provider with primary practice located at 2200 Bergquist Dr Ste 1 , Lackland Afb TX 78236-9908. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Heron, Elizabeth Ann can be contacted via phone (210) 671-2032.

Contact Information

Primary practice address
2200 Bergquist Dr Ste 1 Lackland Afb TX 78236-9908
Phone: (210) 671-2032
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY 10917 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 10917 California

Profile Details

NPI number 1700857612
LBN Legal business name Heron, Elizabeth Ann
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Feb 26th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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