Healthcare Provider Details

I. General information

NPI: 1831036672
Provider Name (Legal Business Name): HEIDI HALKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 7TH AVENUE SW
GRAND RAPIDS MN
55744
US

IV. Provider business mailing address

1401 S LAKE AVE
DULUTH MN
55802-2413
US

V. Phone/Fax

Practice location:
  • Phone: 218-327-5710
  • Fax:
Mailing address:
  • Phone: 218-348-7368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number10427
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: