Elizabeth Heiney
Individual provider Active NPI Clinical Psychologist · Georgetown, IN
NPI 1609909019 · NPPES record last updated Aug 22, 2024
Key facts
- NPI
- 1609909019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1363 (KS)
- Practice address
- 8037 Unruh Dr
Georgetown, IN 47122-8759 - Phone
- (812) 250-2661
- Fax
- (812) 951-0398
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1363 | KS | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence House | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1363 | KS | Yes |
Addresses
Primary practice location
8037 Unruh Dr
Georgetown, IN 47122-8759
Mailing address
8037 Unruh Dr
Georgetown, IN 47122-8759
Phone (812) 250-2661
Other providers in Georgetown, IN
- Georgetown Dental
- Georgetown Township Fire Protection District
- Ashley Renee Giles
- Anne Grantz
- Harrison County Hospital
- Macy Holdsworth
- Heather Hopper
- Brandy Rochelle Koons
- Kevin Lannan
- Gregory J. Lee
All providers in Georgetown, IN · Clinical Psychologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.