Heimlich, Judy Lynn

Heimlich, Judy Lynn is an individual health care provider with primary practice located at 7590 Lyric Ln Ne , Fridley MN 55432-3251. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Heimlich, Judy Lynn can be contacted via phone (763) 236-3800.

Contact Information

Primary practice address
7590 Lyric Ln Ne Fridley MN 55432-3251
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP 3651 Minnesota

Profile Details

NPI number 1700938081
LBN Legal business name Heimlich, Judy Lynn
Credentials M.A., L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 9th, 2007 - about 19 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 1700938081 NPPES
Minnesota Other 4181781 MN TAX ID #
Minnesota Other 45Q48HE & 45Q51HE MN TAX ID #

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