DR. MYRA JEAN HECKENLAIBLE-GOTTO


Address: 1450 Highway 60 71 N, Windom, MN 56101-2025
Phone: 6053347713

DR. MYRA JEAN HECKENLAIBLE-GOTTO (NPI# 1801955315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801955315
Entity Type Individual
Full Name DR. MYRA JEAN HECKENLAIBLE-GOTTO
Credential L.P.
Practice Address 1450 Highway 60 71 N
Windom
MN 56101-2025
Mailing Address 625 S Minnesota Ave
Suite 201
Sioux Falls
SD 57104-4871
Practice Telephone 6053347713
Mailing Telephone 6053347713
Enumeration Date 2006-12-08
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
LP4507 MN Behavioral Health & Social Service Providers

Office Location

Street Address 1450 HIGHWAY 60 71 N
City WINDOM
State MN
Zip Code 56101-2025

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NPI Name Taxonomy Address Enumeration
1073588687 James R Klaassen Dentist 1450 Highway 60 71 N, Windom, MN 56101-2025 2006-02-18

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1669868246 Samantha Noel Hager Counselor 305 9th Street, Windom, MN 56101 2015-04-10
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1952611618 Michelle Seberson Occupational Therapy Assistant 540 16th Street, Windom, MN 56101 2010-10-15
1518290634 Yvonne M. Callaghan Marriage & Family Therapist 41385 Us Hwy 71 N., Windom, MN 56101 2009-09-08
1043452774 Iowa Lakes Orthopaedics, PC Orthopaedic Surgery Hwy. 71 N, Windom, MN 56101 2009-03-26
1891946539 Alissa Grunewald Pharmacist 599 2nd Avenue North, Windom, MN 56101 2008-09-30
1538269741 Sanford Home Medical Equipment Inc. Durable Medical Equipment & Medical Supplies 585 2nd Ave N, Windom, MN 56101 2006-09-25
1811099138 Gloria Andreasen Social Worker 9 4th Street, Windom, MN 56101 2006-09-05
1598738387 Mary L Olson Family Medicine 820 2nd Avenue North, Windom, MN 56101 2006-02-10
1497996052 Jolene Peggy Wirkus Psychologist 9 4th Street, Windom, MN 56101 2009-03-11
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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1871115337 Melissa Jean King Psychologist 205 W 2nd St Ste 437, Duluth, MN 55802-1922 2020-05-07
1841811296 Kristen Math X Psychologist 1603 Pebble Creek Dr, Sartell, MN 56377-4538 2020-04-27
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1457999500 Megan Robb Psychologist 555 W Broadway Ave Ste 2and3, Forest Lake, MN 55025-1175 2019-12-18
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Competitor

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City WINDOM
Zip Code 56101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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