Doctor Name: | DR. HEIDI VALOIS CARLSON |
NPI Number: | 1295955227 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY D., LP |
License Number: | LP5015 |
Business Practice Address: | 8640 Eagle Creek Circle Savage, MN - 55378 |
Business Phone Number: | 9527467664 |
Business Fax Number: | 9522244867 |
Mailing Address: | 8640 Eagle Creek Circle, River Valley Behavioral Health SAVAGE |
State: | MN |
Postal Code: | 55378 |
Phone Number: | 9527467664 |
Fax Number: | 9522244867 |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 08/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | LP5015 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |