Individual
HEATHER CARGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.
Contact information
Practice address
1620 GREENVIEW DR SW, ROCHESTER, MN 55902-4319
(507) 289-2089
Mailing address
1601 HIGHWAY 13 E, STE. 101, BURNSVILLE, MN 55337-6865
(952) 895-9200
(952) 895-1946
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4477
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308661500
—
MN
Enumeration date
10/03/2006
Last updated
02/11/2025
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