Organization
PENNY GIESBRECHT, PSYD LP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PENNY SUE GIESBRECHT PSY.D. (L.P.)
(651) 485-2842
Entity
Organization
Contact information
Practice address
521 TANGLEWOOD DR, SHOREVIEW, MN 55126-2016
(651) 486-0122
(651) 481-8661
Mailing address
521 TANGLEWOOD DR, SHOREVIEW, MN 55126-2016
(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
—
2103601
BHP
MN
01
—
50Q60GI
BCBS
MN
01
—
6191037
UBH
MN
05
—
925015800
—
MN
Enumeration date
01/29/2007
Last updated
10/25/2024
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