Giesbrecht, Penny Sue

Giesbrecht, Penny Sue is an sole proprietor health care provider with primary practice located at 521 Tanglewood Drive , Shoreview MN 55126. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Giesbrecht, Penny Sue can be contacted via phone (651) 486-0122.

Contact Information

Primary practice address
521 Tanglewood Drive Shoreview MN 55126
Phone: (651) 486-0122
Fax: (651) 481-8661
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP3788 Minnesota

Profile Details

NPI number 1396830758
LBN Legal business name Giesbrecht, Penny Sue
Credentials PSY.D., L.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated May 29th, 2024 - about 6 months 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 1396830758 NPPES
Minnesota Other 57730 HEALTH PARTNERS
Minnesota Other 50Q60GI HEALTH PARTNERS
Minnesota Other 792462 HEALTH PARTNERS
Minnesota Other 115244 HEALTH PARTNERS
Minnesota MEDICAID 925015800 HEALTH PARTNERS

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