Paul W Heideman, PHDLP | |
5625 Cenex Dr, Mail Stop 33100a, Inver Grove Heights, MN 55077-1724 | |
(651) 552-2600 | |
(651) 552-2614 |
Full Name | Paul W Heideman |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 5625 Cenex Dr, Inver Grove Heights, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033374038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | LP5154 (Minnesota) | Primary |
Entity Name | Nura Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750316014 PECOS PAC ID: 2769378942 Enrollment ID: O20040322000281 |
Mailing Address | Practice Location Address |
---|---|
Paul W Heideman, PHDLP Po Box 1309, 8170 33rd Ave S Mail Stop 21110q, Minneapolis, MN 55425-4516 Ph: (651) 552-2600 | Paul W Heideman, PHDLP 5625 Cenex Dr, Mail Stop 33100a, Inver Grove Heights, MN 55077-1724 Ph: (651) 552-2600 |
Amy Donovan, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6219 Boyer Path, Inver Grove Heights, MN 55076 Phone: 651-329-6272 | |
Erica Eccles-radtke, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5625 Cenex Dr, Mail Stop 33100a, Inver Grove Heights, MN 55077 Phone: 651-552-2600 Fax: 651-552-2614 | |
John Henry Pribyl, PHD LP LMFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5625 Cenex Dr, Mail Stop 33100a, Inver Grove Heights, MN 55077 Phone: 651-552-2600 Fax: 651-552-2674 | |
Dr. Lynsey R Miron, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5838 Blackshire Path, Inver Grove Heights, MN 55076 Phone: 651-497-4432 Fax: 651-455-4811 | |
Stacey Junghans, M.A., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5625 Cenex Dr, Inver Grove Heights, MN 55077 Phone: 651-552-2600 Fax: 651-552-2614 | |
Dr. Wendy Jean Loomans, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1441 102nd St W, Inver Grove Heights, MN 55077 Phone: 612-730-5315 |