Provider Demographics
NPI:1396851929
Name:HEILMAN, STEPHEN BERNARD JR (EDD PSYCHOLOGY)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:BERNARD
Last Name:HEILMAN
Suffix:JR
Gender:M
Credentials:EDD PSYCHOLOGY
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9900 CINCINNATI COLUMBUS RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45241-1209
Mailing Address - Country:US
Mailing Address - Phone:513-779-9955
Mailing Address - Fax:513-779-0160
Practice Address - Street 1:9900 CINCINNATI COLUMBUS RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45241-1209
Practice Address - Country:US
Practice Address - Phone:513-779-9955
Practice Address - Fax:513-779-0160
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH3131103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
113338OtherMHN
024746OtherUMC
026053000OtherMAGELLAN
000000015675OtherANTHEM
280210OtherVALUE OPTIONS
1216946OtherCHA
9906430OtherOHIO BUREAU WORKERS COMP
280210OtherVALUE OPTIONS