Individual
DR. PENNY SUE GIESBRECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., L.P.
Contact information
Practice address
521 TANGLEWOOD DRIVE, SHOREVIEW, MN 55126
(651) 486-0122
(651) 481-8661
Mailing address
410 HARRIET CIRCLE, SHOREVIEW, MN 55126
(651) 486-0122
(651) 481-8661
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3788
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115244
UCARE
MN
01
—
50Q60GI
BCBS
MN
01
—
57730
HEALTH PARTNERS
MN
01
—
792462
792462
MN
05
—
925015800
—
MN
Enumeration date
10/03/2006
Last updated
05/29/2024
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