Bradley Thomas Heidenberg, LMFT | |
1275 B St, Merced, CA 95341 | |
(209) 381-6800 | |
Not Available |
Full Name | Bradley Thomas Heidenberg |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1275 B St, Merced, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255764627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 98495 (California) | Primary |
Entity Name | County Of San Joaquin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215028931 PECOS PAC ID: 6002703436 Enrollment ID: O20050915001095 |
Mailing Address | Practice Location Address |
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Bradley Thomas Heidenberg, LMFT Po Box 2087, Merced, CA 95344-0087 Ph: (209) 381-6800 | Bradley Thomas Heidenberg, LMFT 1275 B St, Merced, CA 95341 Ph: (209) 381-6800 |
Mrs. Jessica Maria Bautista, M.A Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 301 E. 13th Street, Merced, CA 95341 Phone: 209-381-6800 | |
Ann Athlene Conrad, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2107 O St, Merced, CA 95340 Phone: 209-233-9648 Fax: 209-233-9692 | |
Jenna Christine Nunes, BA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 642 W Main St, Merced, CA 95340 Phone: 209-205-1058 | |
Ms. Rachelle Merie Garcia, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 301 E 13th St, Merced, CA 95341 Phone: 209-381-6819 Fax: 209-381-6871 | |
Amandeep Kaur, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1020 W Main St, Merced, CA 95340 Phone: 818-398-6488 | |
Stephanie Van Dyken, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 300 E 15th St Ste A, Merced, CA 95341 Phone: 209-769-5825 | |
Mrs. Patricia Ann Russell-curry, MFT ADTR Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2805 G St, Merced, CA 95340 Phone: 209-722-7030 Fax: 209-722-7029 |