Heather Bodurtha in New Brighton - Clinical
Heather Bodurtha - NPI 1679774673
Heather Bodurtha is a Clinical in New Brighton, Minnesota. Heather Bodurtha practices all healthcare services and medical treatments related to Clinical. The NPI Number for Heather Bodurtha is 1679774673. The last update date is 2012-10-10.
Heather Bodurtha's current location address is 1900 Silver Lake Rd Nw, New Brighton, Minnesota. You can contact this provider via phone number 6516289566. The mailing address for Heather Bodurtha is 1900 Silver Lake Rd Nw, New Brighton, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather Bodurtha |
|---|---|
| Address | 1900 Silver Lake Rd Nw, New Brighton, Minnesota |
| Phone Number | 6516289566 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1679774673 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2012-10-10 |
Provider Mailing Address Detail
| Address | 1900 Silver Lake Rd Nw |
|---|---|
| City | New Brighton |
| State | Minnesota (MN) |
| Post Code | 551121786 |
| Phone Number | 6516289566 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP4705 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 652660100 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Heather Bodurtha by the Centers for Medicare & Medicaid Services?
The Heather Bodurtha has been issued the NPI (National Provider Identifier) 1679774673 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Heather Bodurtha is physically located?
The Heather Bodurtha is situated at the following address: 1900 Silver Lake Rd Nw, New Brighton, MN 551121786.
What is Heather Bodurtha's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Heather Bodurtha is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Heather Bodurtha receive its 1679774673 assignment from the Centers for Medicare & Medicaid Services?
The Heather Bodurtha was assigned its 1679774673 by the Centers for Medicare & Medicaid Services on 2007-05-29.
When was the information related to Heather Bodurtha most recently updated or refreshed?
The details pertaining to the Heather Bodurtha, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-10-10.
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