SearchCalifornia1041C0700X

Phyllis Heenan, LCSW

NPI 1225167398 · on the registry since 2007 · sole proprietor

Practice

Address
47 Knollwood Dr
Aptos, CA 95003
Phone
(831) 428-3771
Fax
(831) 661-5197

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California