Individual
DR. ELIZABETH ANNE HEIDENREICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D. LP
Contact information
Practice address
5200 WILLSON ROAD, SUITE 150, EDINA, MN 55424
(612) 208-8087
(651) 628-0411
Mailing address
5200 WILLSON ROAD, SUITE 150, EDINA, MN 55424
(612) 208-8087
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
05232
MD
103TC0700X
Clinical Psychologist
Primary
GL0077
MN
103TC0700X
Clinical Psychologist
PSY1000836
DC
Other
Enumeration date
10/11/2012
Last updated
05/06/2024
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