Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Heather Joy Roark, PSYD, LP

Individual provider Clinical Psychologist · NPI 1619048980

Mrs. Heather Joy Roark, PSYD, LP is a Clinical Psychologist in Virginia, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

624 13th St S
Virginia, MN 55792-3149
Phone: (218) 749-2881
Fax: (218) 749-3806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP5089 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619048980
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , LP
Sole proprietorNo
NPI enumeratedNovember 10, 2006
Last updated in NPPESDecember 8, 2014

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