Individual
STACEY GERKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
116 S 3RD ST, SAINT PETER, MN 56082-2043
(507) 931-8040
Mailing address
608 RONELL ST, SAINT PETER, MN 56082-1939
(507) 931-1040
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4430
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113172
UCARE INDIVIDUAL #
MN
01
—
287P7GE
BCBS INDIVIDUAL #
MN
01
—
HP47857
HEALTH PARTNERS INDIV #
MN
Enumeration date
01/26/2007
Last updated
07/08/2007
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