Heather Pedersen
Clinical Psychologist Rehabilitation Psychologist Cognitive & Behavioral Psychologist Adult Development & Aging Psychologist and 2 more
264 Clovis Ave # 104
Clovis
, California 93612-1115
Heather Pedersen
Clinical Psychologist Rehabilitation Psychologist Cognitive & Behavioral Psychologist Adult Development & Aging Psychologist and 2 more
264 Clovis Ave # 104
Clovis
, California 93612-1115
(559) 777-9061
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About
Features
Specialties
- Clinical Psychologist
- Adult Development & Aging Psychologist
- Cognitive & Behavioral Psychologist
- Intellectual & Developmental Disabilities
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Heather Pedersen
- 264 Clovis Avenue #104 264 Clovis Avenue #104
- Clovis, CA
- Zip : 93612
- Phone : (559) 777-9061
Second Address
- Heather Pedersen
- 264 Clovis Ave # 104
- Clovis, CA
- Zip : 93612-1115
- Phone : (559) 777-9061
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY31209 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY31209 | CA |
| N | 103TA0700X | Adult Development & Aging Psychologist | PSY31209 | CA |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY31209 | CA |
| N | 103G00000X | Clinical Psychologist | PSY31209 | CA |
| N | 103TC0700X | Clinical Psychologist | PSY31209 | CA |
| N | 103TM1800X | Intellectual & Developmental Disabilities | PSY31209 | CA |
| N | 103TR0400X | Rehabilitation Psychologist | PSY31209 | CA |
National Provider Identifier
| NPI | 1083032635 |
|---|---|
| Provider Name | Heather Pedersen |
| First Address | Clovis, CA 93612 |
| Second Address | Clovis, CA 93612-1115 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2014 |
| Last Update Date | 21/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.