Organization
HEATHER SVOBODA MA LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER L SVOBODA MA LP (OWNER/AUTHORIZED OFFICIAL)
(651) 300-6266
Entity
Organization
Contact information
Practice address
1678 SELBY AVE, SAINT PAUL, MN 55104-6149
(651) 300-6266
Mailing address
1678 SELBY AVE, SAINT PAUL, MN 55104-6149
(651) 300-6266
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629214747
NPPES (NPI)
—
01
—
LP5110
BOARD OF PSYCHOLOGY
MN
Enumeration date
07/02/2025
Last updated
10/22/2025
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