| Mark Heyman Psychologist Inc | |
|
12526 High Bluff Dr Ste 300 San Diego CA 92130-2067 | |
| (858) 461-9295 | |
| (858) 751-7582 |
| Full Name | Mark Heyman Psychologist Inc |
|---|---|
| Speciality | Psychologist |
| Location | 12526 High Bluff Dr Ste 300, San Diego, California |
| Authorized Official Name and Position | Mark Heyman (CEO) |
| Authorized Official Contact | 8584619295 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Heyman Psychologist Inc 4374 Chelford St San Diego CA 92117-4130 Ph: (858) 461-9295 | Mark Heyman Psychologist Inc 12526 High Bluff Dr Ste 300 San Diego CA 92130-2067 Ph: (858) 461-9295 |
| NPI Number | 1982289740 |
|---|---|
| Provider Enumeration Date | 03/13/2021 |
| Last Update Date | 03/13/2021 |
| Certification Date | 03/13/2021 |
| Medicare PECOS PAC ID | 3577964030 |
|---|---|
| Medicare Enrollment ID | O20210622002753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982289740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0004X | Psychologist - Health | (* (Not Available)) | Primary |
| Provider Name | Mark F.b. Heyman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063783405 PECOS PAC ID: 5092976241 Enrollment ID: I20141110001302 |
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