Individual provider · Type 1 NPI

Heather Gallivan

Psychologist · Minneapolis, MN

NPI number 1477538247 Active

Practice location

6490 Excelsior Blvd, Suite W505
Minneapolis, MN 55426-4705

Call (952) 993-6200 Map

Mailing address

6465 Wayzata Blvd, Suite 315
St. Louis Park, MN 55426-1728

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XLP4521 (MN)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1477538247

Heather Gallivan's National Provider Identifier is 1477538247, issued on Dec 14, 2005. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 13, 2026.