Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 23537 | CA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 4193 | AZ |
N | 103G00000X | Clinical Psychologist | 23537 | CA |
N | 103TC0700X | Clinical Psychologist | 23537 | CA |
N | 103G00000X | Clinical Psychologist | 4193 | AZ |
N | 103TC0700X | Clinical Psychologist | 4193 | AZ |
NPI | 1033421755 |
---|---|
Provider Name | Dr. Andrea Chambers Hekler |
First Address | Phoenix, AZ 85003-1112 |
Second Address | Phoenix, AZ 85004-2135 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2010 |
Last Update Date | 28/11/2012 |