Individual
TINA ANN HEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.P.
Contact information
Practice address
26246 CRANE RD, WHITE EARTH, MN 56591-9998
(218) 983-3286
(218) 983-3724
Mailing address
26246 CRANE RD, WHITE EARTH, MN 56591-9998
(218) 983-3286
(218) 983-3724
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
200604
MN
Other
Enumeration date
10/17/2007
Last updated
03/02/2017
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