Heberlein, Gregory Paul

Heberlein, Gregory Paul is an sole proprietor health care provider with primary practice located at 821 Raymond Avenue Suite 440, Saint Paul MN 55114. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Heberlein, Gregory Paul can be contacted via phone (651) 642-9317.

Contact Information

Primary practice address
821 Raymond Avenue Suite 440 Saint Paul MN 55114
Phone: (651) 642-9317
Fax: (651) 642-1908
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP 1239 Minnesota
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP1239 Minnesota

Profile Details

NPI number 1881741783
LBN Legal business name Heberlein, Gregory Paul
Credentials LICENSED PSYCHOLOGIS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Apr 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881741783 NPPES
Minnesota MEDICAID 9280472

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