Provider Demographics
NPI:1437225323
Name:HECKMAN, KATIE E (LMFT)
Entity Type:Individual
Prefix:MS
First Name:KATIE
Middle Name:E
Last Name:HECKMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KAY
Other - Middle Name:E
Other - Last Name:HECKMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:1875 NORTHWESTERN AVE S
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-7534
Mailing Address - Country:US
Mailing Address - Phone:651-439-4840
Mailing Address - Fax:651-641-8635
Practice Address - Street 1:1129 GRAND AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55105-2629
Practice Address - Country:US
Practice Address - Phone:651-641-0177
Practice Address - Fax:651-641-8635
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1338106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist