Provider Demographics
NPI:1538403621
Name:RACHEL HEISS PHD PLC
Entity type:Organization
Organization Name:RACHEL HEISS PHD PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:HARRIET
Authorized Official - Last Name:HEISS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:515-471-5070
Mailing Address - Street 1:1922 INGERSOLL AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-3339
Mailing Address - Country:US
Mailing Address - Phone:515-471-5070
Mailing Address - Fax:515-282-5570
Practice Address - Street 1:1922 INGERSOLL AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-3339
Practice Address - Country:US
Practice Address - Phone:515-471-5070
Practice Address - Fax:515-282-5570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00796103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty