Individual
MR. GREGORY PAUL HEBERLEIN
Active
Individual
MR. GREGORY PAUL HEBERLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED PSYCHOLOGIS
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP 1239
MN
103TC1900X
Counseling Psychologist
Primary
LP1239
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9280472
—
MN
Enumeration date
01/04/2007
Last updated
04/25/2019
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