Search › Minnesota › 103TC0700X
Heather Roark, PSY D, LP
NPI 1619048980 · on the registry since 2006
Practice
- Address
- 624 13th St S
Virginia, MN 55792 - Phone
- (218) 749-2881
- Fax
- (218) 749-3806
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 390200000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-12-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota