Heather Bodurtha
NPI #1679774673 in New Brighton, Minnesota
Provider Information
- NPI Number
- 1679774673
- Entity Type
- Individual
- Name
- Heather Bodurtha
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- May 29, 2007
- Last Updated
- Oct 10, 2012
Practice Location
- Address
- 1900 SILVER LAKE RD NW
- Address 2
- 110
- City
- New Brighton
- State
- Minnesota
- ZIP Code
- 55112-1786
- Phone
- (651) 628-9566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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