Provider Demographics
NPI:1164762290
Name:HEIGH, RIO H (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RIO
Middle Name:H
Last Name:HEIGH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 686
Mailing Address - Street 2:
Mailing Address - City:SOLEDAD
Mailing Address - State:CA
Mailing Address - Zip Code:93960-0686
Mailing Address - Country:US
Mailing Address - Phone:831-678-3951
Mailing Address - Fax:
Practice Address - Street 1:HWY 101
Practice Address - Street 2:CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION
Practice Address - City:SOLEDAD
Practice Address - State:CA
Practice Address - Zip Code:93960-0686
Practice Address - Country:US
Practice Address - Phone:831-678-3951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20081103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist