Healthcare Provider Details

I. General information

NPI: 1225405855
Provider Name (Legal Business Name): HEATHER MUIR PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2015
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1663 MISSION ST. SUITE 250
SAN FRANCISCO CA
94103
US

IV. Provider business mailing address

1448 18TH AVE
SAN FRANCISCO CA
94122-3409
US

V. Phone/Fax

Practice location:
  • Phone: 415-386-6600
  • Fax:
Mailing address:
  • Phone: 860-705-2821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: