MRS. HEATHER LYNN HANSON GRUDZINSKI LPC NPI 1770812174

NPI Information

NPI: 1770812174
Provider Name: MRS. HEATHER LYNN HANSON GRUDZINSKI, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
7400 METRO BLVD #100-6
EDINA, MN
ZIP 55439
Phone: (612) 564-0251
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MRS. Heather Lynn Hanson Grudzinski, LPC is a mental health counselor in Edina, MN. MRS. Heather Lynn Hanson Grudzinski, LPC NPI is 1770812174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7400 METRO BLVD #100-6
EDINA, MN
ZIP 55439
Phone: (612) 564-0251
Fax: (612) 253-0502

The enumeration date for this NPI number is 12/14/2009 and was last updated on 6/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	CC02413	MINNESOTA	No
2	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	494461106	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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