| Doctor Name: | DR. HEIDI WOODLAND |
| NPI Number: | 1073914164 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D., LP |
| License Number: | LP5930 |
| Business Practice Address: | 1210 1st St W Hastings, MN - 550331147 |
| Business Phone Number: | 6514381800 |
| Business Fax Number: | 6514381837 |
| Mailing Address: | 2925 Chicago Ave, MINNEAPOLIS |
| State: | MN |
| Postal Code: | 554071321 |
| Phone Number: | 6122625000 |
| Fax Number: | |
| NPI Enumeration Date: | 09/09/2014 |
| NPI Last Update Date: | 12/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | LP5930 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |