Heather Crystal Bravo, is a
Psychologist - Clinical based in Elk Grove, California. Heather Crystal Bravo is licensed to practice in California (license number PSY31031) and her current practice location is
9272 Laguna Springs Dr Bldg G, Elk Grove, California. She can be reached at her office (for appointments etc.) via phone at
(916) 691-9980.
NPI number for Heather Crystal Bravo is 1164668067 and her current mailing address is Po Box 161495, Sacramento, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164668067.
Healthcare Provider's Profile
Full Name | Heather Crystal Bravo |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 9272 Laguna Springs Dr Bldg G, Elk Grove, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164668067
- Provider Enumeration Date: 12/23/2008
- Last Update Date: 04/12/2022
Medical Identifiers
Medical identifiers for Heather Crystal Bravo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164668067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | PSY31031 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heather Crystal Bravo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Heather Crystal Bravo, Po Box 161495, Sacramento, CA 95816-1495 Ph: (530) 305-5315 | Heather Crystal Bravo, 9272 Laguna Springs Dr Bldg G, Elk Grove, CA 95758-7947 Ph: (916) 691-9980 |
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