Heather Bodurtha Valid NPI
Individual provider · Clinical Psychologist · New Brighton, MN
- NPI
- 1679774673
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- LP4705 (MN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-05-29
- Last updated
- 2012-10-10
Practice location
1900 Silver Lake Rd Nw, 110
New Brighton, MN 55112-1786
(651) 628-9566