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DR. OLIVIA DENNIS HEATHCOTE MFT
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1982879037
Individual Registrant:DR. OLIVIA DENNIS HEATHCOTE MFT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
45 ELLENWOOD AVE LOS GATES, CA 95030-5221 US
Tel: 408-920-2990 Fax: 408-354-1504
Tel: 408-920-2990 Fax: 408-354-1504
Contact information for business:
45 ELLENWOOD AVE LOS GATES, CA 95030-5221 US
Tel: 408-920-2990 Fax: 408-354-1504
Tel: 408-920-2990 Fax: 408-354-1504
Registration Information:
NPI: 1982879037
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CA | MFC34321 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
