Provider Demographics
NPI:1508270158
Name:DENOYER, HEIDI JO (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:JO
Last Name:DENOYER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:HEIDI
Other - Middle Name:JO
Other - Last Name:ERICKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:8601 UNIVERSITY EAST DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-4353
Mailing Address - Country:US
Mailing Address - Phone:704-597-3500
Mailing Address - Fax:
Practice Address - Street 1:8601 UNIVERSITY EAST DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-4353
Practice Address - Country:US
Practice Address - Phone:704-597-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103064103T00000X
NC4679103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist