Grudzinski, Heather Lynn Hanson

Grudzinski, Heather Lynn Hanson is an individual health care provider with primary practice located at 7400 Metro Blvd #100-6 , Edina MN 55439. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Grudzinski, Heather Lynn Hanson can be contacted via phone (612) 564-0251.

Contact Information

Primary practice address
7400 Metro Blvd #100-6 Edina MN 55439
Phone: (612) 564-0251
Fax: (612) 253-0502
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC02413 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1770812174
LBN Legal business name Grudzinski, Heather Lynn Hanson
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2009
Last updated Jun 3rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770812174 NPPES
Missouri MEDICAID 494461106

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