Provider Demographics
NPI:1083402762
Name:CLEAR, HEIDI
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:CLEAR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:918 E WASHINGTON ST STE 5
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:IN
Mailing Address - Zip Code:47394-9278
Mailing Address - Country:US
Mailing Address - Phone:765-896-7140
Mailing Address - Fax:
Practice Address - Street 1:918 E WASHINGTON ST STE 5
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:IN
Practice Address - Zip Code:47394-9278
Practice Address - Country:US
Practice Address - Phone:765-896-7140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician