Dr Andrew Garrett Heise, PHD | |
1721 W Yosemite Ave, Manteca, CA 95337-5130 | |
(209) 825-3700 | |
Not Available |
Full Name | Dr Andrew Garrett Heise |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 1721 W Yosemite Ave, Manteca, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962118877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY33984 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Dr Andrew Garrett Heise, PHD 1721 W Yosemite Ave, Manteca, CA 95337-5130 Ph: (209) 824-6248 | Dr Andrew Garrett Heise, PHD 1721 W Yosemite Ave, Manteca, CA 95337-5130 Ph: (209) 825-3700 |
Dr. Nancy Lynn Brison-moll, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 965 E Yosemite Ave Ste 12, Manteca, CA 95336 Phone: 209-483-4498 Fax: 209-824-0010 | |
Dr. Lourdes Valdez Humphrey, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-824-5068 | |
Dr. Richard Labelle, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1789 W Yosemite Ave, Suite 101, Manteca, CA 95337 Phone: 209-858-7765 | |
Senta Anne Cunningham, PPS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1172 Marguerite Ave, Manteca, CA 95336 Phone: 209-647-9399 | |
Dr. Teresa Nadine Viles-reed, PHD. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 129 E. Center St Suite 3, 129 E. Center St. Suite 3, Manteca, CA 95337 Phone: 209-239-5553 Fax: 209-239-5978 | |
Dr. Douglas Eugene Tomson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 801 Atherton Dr, #276, Manteca, CA 95337 Phone: 209-239-4768 | |
Edmon Artinyan, Psychologist Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-825-3700 |