Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | MH67 | FL |
N | 103TS0200X | School Psychologist | SS23 | FL |
NPI | 1073556585 |
---|---|
Provider Name | Dr. Barbara Clements Heller |
First Address | Altamonte Springs, FL 32701-7854 |
Second Address | Altamonte Springs, FL 32701-7854 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 17/08/2007 |