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General NPI Number Information
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NPI Number | 1811886823
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Entity Type | Organization
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Legal Business Name | HERITAGE PSYCHOLOGY PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 2210 ENCINITAS BLVD STE G-1
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City | ENCINITAS
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State | CA
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Zip | 92024-4359
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Country | US
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Telephone | 760-415-0125
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Fax | 619-736-1584
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Provider Business Mailing Address
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Address Line | 2210 ENCINITAS BLVD STE G-1
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City | ENCINITAS
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State | CA
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Zip | 92024-4359
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Country | US
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Telephone | 760-415-0125
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Fax | 619-736-1584
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Authorized Official
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Title or Position | OWNER OF HERITAGE PSYCHOLOGY
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Name | DR. BRENDA FRANZ
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Credential | PSYD
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Telephone | 760-415-0125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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