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Mrs. Heather Joy Roark, PSYD,LP
Student in an Organized Health Care Education/Training Program in Virginia, Minnesota
NPI 1619048980

Heather Joy Roark is a Student in an Organized Health Care Education/Training Program based in Virginia, MN. Heather Joy Roark practices in Virginia, MN and has the professional credentials of PSYD,LP. The NPI Number for Heather Joy Roark is 1619048980 and holds a License No. LP5089 (Minnesota).

The current practice location address for Heather Joy Roark is 624 13Th St S, Virginia, MN and can be reached out via phone at 218-749-2881 and via fax at 218-749-3806.

Location: 624 13Th St S, Virginia, MN, 55792-1188
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619048980
Provider Name
Heather Joy Roark
Credential
PSYD,LP
Provider Entity Type
Individual
Gender
Female
Address
624 13Th St S, Virginia, MN, 55792-1188
Phone Number
218-749-2881
Fax Number
218-749-3806
Provider Enumeration Date
11/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
624 13Th St S
City
Virginia
State
Minnesota
Zip
55792-3149
Phone Number
218-749-2881
Fax Number
218-749-3806
person
Provider Business Mailing Address Details
Address
624 13Th St S
City
Virginia
State
Minnesota
Zip
55792-3149
Phone Number
218-749-2881
Fax Number
218-749-3806
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
LP5089 (Minnesota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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