Healthcare Provider Details

I. General information

NPI: 1316043052
Provider Name (Legal Business Name): MARGARET A HEPP LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 02/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

563 BIELENBERG DR SUITE 145
WOODBURY MN
55125-4425
US

IV. Provider business mailing address

4424 WASHBURN AVE S
MINNEAPOLIS MN
55410-1534
US

V. Phone/Fax

Practice location:
  • Phone: 651-829-6609
  • Fax: 651-739-1998
Mailing address:
  • Phone: 651-983-7901
  • Fax: 651-739-1998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1142
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: