Britan Mary Heavrin, | |
5819 Winding Ln Ste 101, Hixson, TN 37343-4067 | |
(801) 587-8500 | |
Not Available |
Full Name | Britan Mary Heavrin |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 5819 Winding Ln Ste 101, Hixson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194395442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 11987818-2501 (Utah) | Secondary |
103TC0700X | Psychologist - Clinical | 3966 (Tennessee) | Primary |
Entity Name | University Of Utah Behavioral Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118 |
Entity Name | University Of Utah Acuity Care Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407250541 PECOS PAC ID: 4789908534 Enrollment ID: O20150127000392 |
Entity Name | University Of Utah Pediatric Acuity Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619325131 PECOS PAC ID: 6406148345 Enrollment ID: O20160713000869 |
Entity Name | University Of Utah Pediatric Behavioral Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649631599 PECOS PAC ID: 3870886898 Enrollment ID: O20160727002309 |
Mailing Address | Practice Location Address |
---|---|
Britan Mary Heavrin, 5819 Winding Ln Ste 101, Hixson, TN 37343-4067 Ph: () - | Britan Mary Heavrin, 5819 Winding Ln Ste 101, Hixson, TN 37343-4067 Ph: (801) 587-8500 |
Dr. Tracy Deborah Schultz, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5441 Tn-153, Ste 200, Hixson, TN 37343 Phone: 423-710-3864 Fax: 423-710-3865 |