Provider Demographics
NPI:1316043052
Name:HEPP, MARGARET A (LMFT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:HEPP
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4424 WASHBURN AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55410-1534
Mailing Address - Country:US
Mailing Address - Phone:651-983-7901
Mailing Address - Fax:651-739-1998
Practice Address - Street 1:563 BIELENBERG DR
Practice Address - Street 2:SUITE 145
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-4425
Practice Address - Country:US
Practice Address - Phone:651-829-6609
Practice Address - Fax:651-739-1998
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1142106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN113476100Medicaid