Healthcare Provider Details

I. General information

NPI: 1528686805
Provider Name (Legal Business Name): HESS PSYCHOLOGICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2020
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4582 W RIVER DR NE STE C
COMSTOCK PARK MI
49321-8941
US

IV. Provider business mailing address

4582 W RIVER DR NE STE C
COMSTOCK PARK MI
49321-8941
US

V. Phone/Fax

Practice location:
  • Phone: 734-604-2842
  • Fax:
Mailing address:
  • Phone: 734-604-2842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. HEATHER HESS
Title or Position: LICENSED PSYCHOLOGIST
Credential: PH.D.
Phone: 734-604-2842