| Dr Heather Holleman Llc | |
|
3220 E Jefferson Blvd South Bend IN 46615-3028 | |
| (574) 222-2466 | |
| (574) 222-2468 |
| Full Name | Dr Heather Holleman Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3220 E Jefferson Blvd, South Bend, Indiana |
| Authorized Official Name and Position | Heather Holleman (PSYCHOLOGIST) |
| Authorized Official Contact | 5742222466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Heather Holleman Llc 18340 Roosevelt Rd South Bend IN 46614-9485 Ph: (574) 222-2466 | Dr Heather Holleman Llc 3220 E Jefferson Blvd South Bend IN 46615-3028 Ph: (574) 222-2466 |
| NPI Number | 1942999636 |
|---|---|
| Provider Enumeration Date | 05/08/2023 |
| Last Update Date | 05/08/2023 |
| Certification Date | 05/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942999636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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