Heidi Jo Hathaway, PSYD, LP
NPI #1780755256 in Brooklyn Center, Minnesota
Provider Information
- NPI Number
- 1780755256
- Entity Type
- Individual
- Name
- Heidi Jo Hathaway, PSYD, LP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSYD, LP
- Enumeration Date
- Nov 13, 2006
- Last Updated
- Feb 2, 2023
Practice Location
- Address
- 6200 SHINGLE CREEK PKWY STE 350
- City
- Brooklyn Center
- State
- Minnesota
- ZIP Code
- 55430-2155
- Phone
- (763) 503-8560
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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