Individual provider · Type 1 NPI

Heather Joy Roark, PSY D, LP

Clinical Psychologist · Virginia, MN

NPI number 1619048980 Active

Practice location

624 13th St S
Virginia, MN 55792-3149

Fax (218) 749-3806

Mailing address

PO Box 1188
Virginia, MN 55792-1188

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XLP5089 (MN)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1619048980

Heather Joy Roark, PSY D, LP's National Provider Identifier is 1619048980, issued on Nov 10, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Virginia, MN. The record was last updated on Dec 8, 2014.