Wanda Marie Heath, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY002823 Issued in GA

Practice address

54 South Ave SE
Marietta, GA 30060-2358

Phone

(404) 312-8267

NPI assigned

Jun 4, 2007

Last updated

Oct 6, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191628800000",
    "number": "1184826901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6162 INDIAN WOOD CIR SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262965",
            "telephone_number": "404-696-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SOUTH AVE SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602358",
            "telephone_number": "404-312-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "WANDA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "GA",
            "license": "PSY002823",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vernisha Hearn, M.D.
• Lauren Constance Heaslip
• Andrew Heath, DC
• Benjamin Hancock Heath, LPC, M.A.
• Nedra Heath, APRN
• Heavenly Hands Hospice, LLC
• Linda Heaviside, M.S., LPC, NCC
• Cheryl L. Hecht, M.D.
• Hayley S. Hecht, NP-C
• Tracy Lynn Hecht, PTA

• Clinical Child & Adolescent Psychologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Clinical Child & Adolescent Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.