NPI 1043370372

Nicholas E. Heyneman, PHD

Practitioner Clinical Psychologist Pocatello, ID

Practice location

Address: 850 E Center St Suite a, Pocatello, ID 83201-5737
Phone: (208) 234-7740
Fax: (208) 392-1541
Mailing address: 24 Yale St, Pocatello, ID 83201-3436

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY-234 (ID)

Other Psychologist providers in Idaho →

Registry record

NPI: 1043370372
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Dec 2006
Record last updated: 3 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.