Individual
NANCY JO HEIN-KOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1606 C 30TH AVE S, MOORHEAD, MN 56560
(218) 287-4338
(218) 287-5928
Mailing address
1606 C 30TH AVE S, MOORHEAD, MN 56560
(218) 287-4338
(218) 287-5928
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3314
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067322600
—
MN
01
—
1022602
PREFERRED ONE
—
05
—
11761
—
ND
01
—
1400L4HE
BLUE CROSS
MN
01
—
21463
BLUE CROSS
ND
01
—
6165134
UBH
—
01
—
HP30049
HEALTH PARTNERS
—
Enumeration date
10/03/2006
Last updated
07/26/2010
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