Gerken, Stacey

Gerken, Stacey is an individual health care provider with primary practice located at 116 S 3Rd St , Saint Peter MN 56082-2043. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gerken, Stacey can be contacted via phone (507) 931-8040.

Contact Information

Primary practice address
116 S 3Rd St Saint Peter MN 56082-2043
Phone: (507) 931-8040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP4430 Minnesota

Profile Details

NPI number 1427104280
LBN Legal business name Gerken, Stacey
Credentials PHD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427104280 NPPES
Minnesota Other HP47857 HEALTH PARTNERS INDIV #
Minnesota Other 113172 HEALTH PARTNERS INDIV #
Minnesota Other 287P7GE HEALTH PARTNERS INDIV #

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