Provider Demographics
NPI:1023136504
Name:AMLING-HEIKEN, JANE ELIZABETH (JANE HEIKEN PSYD LMF)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:ELIZABETH
Last Name:AMLING-HEIKEN
Suffix:
Gender:F
Credentials:JANE HEIKEN PSYD LMF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4574 N QUAIL LAKE DR
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-4630
Mailing Address - Country:US
Mailing Address - Phone:559-367-2840
Mailing Address - Fax:559-292-6840
Practice Address - Street 1:4938 E. YALE STREET
Practice Address - Street 2:SUITE 104
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703
Practice Address - Country:US
Practice Address - Phone:559-367-2840
Practice Address - Fax:559-456-6015
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC33246106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist