Individual
JANA LEE HEIDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
100 COBBLESTONE LANE, COURAGE BURNESVILLE, BURNSVILLE, MN 55337
(952) 898-5700
(952) 898-5757
Mailing address
100 COBBLESTONE LANE, COURAGE BURNESVILLE, BURNSVILLE, MN 55337
(952) 898-5700
(952) 898-5757
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8057
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
501P3HE
BCBS-MINNESOTA
—
01
—
HP65535
HEALTH PARTNERS
—
01
—
PENDING
MEDICA
—
Enumeration date
08/09/2006
Last updated
07/08/2007
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