Provider Demographics
NPI:1811886823
Name:HERITAGE PSYCHOLOGY PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:HERITAGE PSYCHOLOGY PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF HERITAGE PSYCHOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANZ
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:760-415-0125
Mailing Address - Street 1:2210 ENCINITAS BLVD STE G-1
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4359
Mailing Address - Country:US
Mailing Address - Phone:760-415-0125
Mailing Address - Fax:619-736-1584
Practice Address - Street 1:2210 ENCINITAS BLVD STE G-1
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4359
Practice Address - Country:US
Practice Address - Phone:760-415-0125
Practice Address - Fax:619-736-1584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty