Gregory Paul Heberlein, Licensed Psychologis
Psychologist, Counseling in Saint Paul, MN. Individual provider (NPI-1).
NPI number1881741783
StatusActive
Last updated in NPPESApr 25, 2019
Details
- NPI
- 1881741783
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gregory Paul Heberlein
- Credential
- Licensed Psychologis
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 4, 2007
- Last updated
- Apr 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | LP1239 | MN | Yes |
| 103T00000X | Psychologist | LP 1239 | MN |
Practice location
821 Raymond AvenueSuite 440
Saint Paul, MN 55114
Phone 651-642-9317 · Fax 651-642-1908
Mailing address
821 Raymond AvenueSuite 440
Saint Paul, MN 55114
Phone 651-642-9317 · Fax 651-642-1908
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