Provider Demographics
NPI:1659562163
Name:WEHRING, HEIDI JEAN (PHARMD, BCPP)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:JEAN
Last Name:WEHRING
Suffix:
Gender:F
Credentials:PHARMD, BCPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 JOHNSON LN
Mailing Address - Street 2:MARE ISLAND
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94592-1159
Mailing Address - Country:US
Mailing Address - Phone:707-638-5988
Mailing Address - Fax:
Practice Address - Street 1:1310 JOHNSON LN
Practice Address - Street 2:MARE ISLAND
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94592-1159
Practice Address - Country:US
Practice Address - Phone:707-638-5988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA193211835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric