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Contact Information

PENNY S GIESBRECHT, PSY.D., L.P.
521 TANGLEWOOD DRIVE
SHOREVIEW, MN55126
 Phone: 651-486-0122
 Fax: 651-481-8661
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PENNY S GIESBRECHT · (Female)

NPI # 1396830758
Status Active
Credentials PSY.D., L.P.
Entity Individual
Enumeration date 10/03/2006
Last updated 05/29/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # LP3788
  • MN Medicaid 925015800
  • MN Other 792462 792462
  • MN Other 50Q60GI BCBS
  • MN Other 57730 HEALTH PARTNERS
  • MN Other 115244 UCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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