Penny Giesbrecht, Psyd Lp Pa | |
521 Tanglewood Dr Shoreview MN 55126-2016 | |
(651) 486-0122 | |
(651) 481-8661 |
Full Name | Penny Giesbrecht, Psyd Lp Pa |
---|---|
Speciality | Psychologist |
Location | 521 Tanglewood Dr, Shoreview, Minnesota |
Authorized Official Name and Position | Penny Sue Giesbrecht (L.P.) |
Authorized Official Contact | 6514852842 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Penny Giesbrecht, Psyd Lp Pa 521 Tanglewood Dr Shoreview MN 55126-2016 Ph: (651) 486-0122 | Penny Giesbrecht, Psyd Lp Pa 521 Tanglewood Dr Shoreview MN 55126-2016 Ph: (651) 486-0122 |
NPI Number | 1699811752 |
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Provider Enumeration Date | 01/29/2007 |
Last Update Date | 10/25/2024 |
Certification Date | 10/23/2024 |
Medicare PECOS PAC ID | 0244274546 |
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Medicare Enrollment ID | O20050617000107 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699811752 | NPI | - | NPPES |
925015800 | Medicaid | MN | |
2103601 | Other | MN | BHP |
6191037 | Other | MN | UBH |
50Q60GI | Other | MN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | LP3788 (Minnesota) | Primary |
Provider Name | Penny S Giesbrecht |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1396830758 PECOS PAC ID: 9133163439 Enrollment ID: I20050620000006 |
Veritas Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 470 Highway 96 W Ste 260, Shoreview, MN 55126 Phone: 651-237-3767 | |
Elaine K Johnson Ma Lp Ladc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 Tanglewood Dr, Shoreview, MN 55126 Phone: 612-801-5826 Fax: 651-490-5215 | |
Pathway Virtu-health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4570 Churchill St Ste 140, Shoreview, MN 55126 Phone: 612-517-1293 Fax: 612-349-2790 | |
Keystone Counseling And Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4700 Lexington Ave N Ste B, Shoreview, MN 55126 Phone: 651-421-0815 | |
Thomas M Graske, M.a., L.p. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 Tanglewood Dr, Shoreview, MN 55126 Phone: 763-753-1785 Fax: 763-753-1753 | |
Stephanie A Johnson Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3550 Lexington Ave N Ste 207, Shoreview, MN 55126 Phone: 651-354-1443 | |
Outreach Counseling & Consulting Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3570 Lexington Ave N, Suite 100, Shoreview, MN 55126 Phone: 651-481-0664 Fax: 651-481-3907 |