Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 22510 | CA |
Y | 103TC0700X | Clinical Psychologist | 22510 | CA |
N | 103G00000X | Clinical Psychologist | 6301017124 | MI |
N | 103TC0700X | Clinical Psychologist | 6301017124 | MI |
NPI | 1003047283 |
---|---|
Provider Name | Dr. Heidi Joshi |
First Address | Walnut Creek, CA 94597-2168 |
Second Address | Walnut Creek, CA 94597-2168 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2009 |
Last Update Date | 05/11/2021 |