Healthcare Provider Details

I. General information

NPI: 1003958661
Provider Name (Legal Business Name): LINDSAY HELLER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 02/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9171 WILSHIRE BLVD STE 600
BEVERLY HILLS CA
90210-5523
US

IV. Provider business mailing address

9171 WILSHIRE BLVD STE 600
BEVERLY HILLS CA
90210-5523
US

V. Phone/Fax

Practice location:
  • Phone: 310-384-9300
  • Fax: 310-283-1010
Mailing address:
  • Phone: 310-384-9300
  • Fax: 310-283-1010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY21400
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY21400
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: