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NPI Code Detail

MEDICARE: HEATHER MUIR PHD

MEDICARE:   HEATHER  MUIR  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

General Provider Information

NPI Number : 1225405855
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER MUIR PHD
Provider Business Mailing Address
First Line : 1448 18TH AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94122-3409
Country : US
Telephone Number : 860-705-2821
Fax Number :
Provider Business Practice Location Address
First Line : 1005 ATLANTIC AVE
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-1148
Country : US
Telephone Number : 860-705-2821
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2015
Last Update Date : 01/16/2026

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