Individual
DR. ANGELA HEITZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(952) 548-8738
Mailing address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(952) 548-8738
(952) 548-8760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
LP6114
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/03/2015
Last updated
07/21/2022
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