Individual
JUDY LYNN HEIMLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.
Contact information
Practice address
7590 LYRIC LN NE, FRIDLEY, MN 55432-3251
(763) 236-3800
Mailing address
1457 ARDEN VIEW DR, ARDEN HILLS, MN 55112-1941
(651) 636-4176
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 3651
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4181781
MN TAX ID #
MN
01
—
45Q48HE & 45Q51HE
BCBS OF MN
MN
Enumeration date
01/17/2007
Last updated
07/09/2007
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