Dr Heather Ayn Indelicato, PSYD | |
Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0589 | |
(928) 729-8500 | |
Not Available |
Full Name | Dr Heather Ayn Indelicato |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811325947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 020302 (New York) | Primary |
Entity Name | State Of New Hampshire |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861491334 PECOS PAC ID: 3870530579 Enrollment ID: O20050414000166 |
Mailing Address | Practice Location Address |
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Dr Heather Ayn Indelicato, PSYD Po Box 3952, Fort Defiance, AZ 86504-3952 Ph: (954) 822-9494 | Dr Heather Ayn Indelicato, PSYD Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0589 Ph: (928) 729-8500 |
Ms. Ann Weiler Reeves, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Navajo Route 12, Window Rock Schools, Fort Defiance, AZ 86504 Phone: 928-729-6760 Fax: 928-729-6730 | |
Ms. Cecelia Yazzie, EDD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Navajo Route 12, Wrusd No 8 Special Education Department, Fort Defiance, AZ 86504 Phone: 928-729-6761 Fax: 928-729-7630 |