Pedersen, Heather
Pedersen, Heather is an individual health care provider with primary practice located at 264 Clovis Ave # 104 , Clovis CA 93612-1115. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Pedersen, Heather can be contacted via phone (559) 777-9061.Contact Information
Primary practice address
264 Clovis Ave # 104
Clovis CA 93612-1115
Phone: (559) 777-9061
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | PSY31209 | California |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PSY31209 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY31209 | California |
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | PSY31209 | California |
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | PSY31209 | California |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY31209 | California |
Profile Details
| NPI number | 1083032635 |
|---|---|
| LBN Legal business name | Pedersen, Heather |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2014 |
| Last updated | Apr 21st, 2021 - about 5 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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