Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEATHER BODURTHA
ActiveHEATHER BODURTHA is a Clinical Psychologist healthcare provider located in NEW BRIGHTON, Minnesota. NPI 1679774673 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · NEW BRIGHTON, MN
Registration Details
- NPI Number
- 1679774673
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 29, 2007 (19.202098065145 yrs)
- Last Updated
- Oct 10, 2012
- License
-
LP4705 (MN)
Practice Information
- Address
-
1900 SILVER LAKE RD NW110NEW BRIGHTON, MN, 551121786Browse MN providers · Browse ZIP 55112
- Phone
- 6516289566
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in NEW BRIGHTON, MN
| Name | Credential | NPI |
|---|---|---|
| ELDON JAMES BRUE | PH.D., LP, LMFT | 1154354926 |
| DALE GENE BARRON | MA, LP, LMFT | 1366467052 |
| SCOT MONTGOMERY HUNTER | MA, LP | 1639191117 |
| LOREN PAUL HUBIN | PHD | 1841200698 |
| DR. SHAWN LEE HOFER | PH.D., L.P. | 1760493936 |
| DR. CHERYL LYNN SCHULTZ | PSYD LP | 1164524013 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.