HEATHER GALLIVAN

Psychologist

Active Individual
NPI: 1477538247

Practice Address

6490 EXCELSIOR BLVD
SUITE W505
Minneapolis, MN 55426

Phone: (952) 993-6200

Specialties

Specialty Code Primary License
Psychologist 103T00000X Yes LP4521 (MN)

Frequently Asked Questions

NPI 1477538247 is the National Provider Identifier for HEATHER GALLIVAN, a Psychologist provider located in Minneapolis, MN. This NPI was enumerated on December 14, 2005.
HEATHER GALLIVAN practices at 6490 EXCELSIOR BLVD, SUITE W505, Minneapolis, MN 55426.

Quick Facts

NPI
1477538247
Type
Individual
Enumerated
Dec 14, 2005
Last Updated
Jul 8, 2007

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