Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | CA |
NPI | 1063921914 |
---|---|
Provider Name | Heath Schechinger |
First Address | Berkeley, CA 94720-4301 |
Second Address | Berkeley, CA 94720-4301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2017 |
Last Update Date | 22/09/2017 |