| Heather Johnson Llc | |
|
4601 Excelsior Blvd Ste 411 St Louis Park MN 55416-4977 | |
| (612) 294-9458 | |
| Not Available |
| Full Name | Heather Johnson Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 4601 Excelsior Blvd Ste 411, St Louis Park, Minnesota |
| Authorized Official Name and Position | Heather J Johnson (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6122949458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Johnson Llc 4601 Excelsior Blvd Ste 411 St Louis Park MN 55416-4977 Ph: (612) 294-9458 | Heather Johnson Llc 4601 Excelsior Blvd Ste 411 St Louis Park MN 55416-4977 Ph: (612) 294-9458 |
| NPI Number | 1750742300 |
|---|---|
| Provider Enumeration Date | 03/10/2016 |
| Last Update Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750742300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 5388 (Minnesota) | Primary |
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