Provider Demographics
NPI:1427536572
Name:DELOVEH, HEIDI (PHD)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:
Last Name:DELOVEH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:MOYHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8226 MENAUL BLVD NE # 624
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-4614
Mailing Address - Country:US
Mailing Address - Phone:614-681-0776
Mailing Address - Fax:
Practice Address - Street 1:2741 INDIAN SCHOOL RD NE STE 212
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-2653
Practice Address - Country:US
Practice Address - Phone:614-681-0776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7400103T00000X, 103TC0700X
NMPSY-2023-0027103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist