NPI | 1528773868 |
---|---|
Former Legal Business Name | ROBYN HEISTER, PC |
Entity Type | Organization |
Authorized Contact | DANIEL JOHN MONTVILLE Chief Medical Officer 612-805-7008 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 207R00000X Internal Medicine |
363A00000X Physician Assistant | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
101YM0800X Counselor, Mental Health | |
103K00000X Behavior Analyst | |
Enumeration Date | 2023-01-20 |
Last Update Date | 2025-07-24 |