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Contact Information

HEIDI K MINNICK, PhD
21 TAMAL VISTA BLVD.
SUITE 218
CORTE MADERA, CA94925
 Phone: 415-457-1793
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for HEIDI K MINNICK · (Female)

NPI # 1093801821
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/05/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY12381
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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