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NPI Code Detail

MEDICARE: DR. PAUL ROHDE HEBERLEIN PHD

MEDICARE: DR. PAUL ROHDE HEBERLEIN 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
1103T00000XPsychologistPSY11450CA

General Provider Information

NPI Number : 1730239914
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL ROHDE HEBERLEIN PHD
Provider Business Mailing Address
First Line : 1118 MERIDIAN AVE STE 150
Second Line :
City : SAN JOSE
State : CA
Zip : 95125-4352
Country : US
Telephone Number : 408-445-8172
Fax Number : 408-266-6614
Provider Business Practice Location Address
First Line : 1118 MERIDIAN AVE STE 150
Second Line :
City : SAN JOSE
State : CA
Zip : 95125-4352
Country : US
Telephone Number : 408-445-8172
Fax Number : 408-266-6614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 06/05/2025

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