Individual
DR. LINDA C GIACOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
401 GROVELAND AVE, MINNEAPOLIS, MN 55403-3219
(612) 872-1161
(612) 871-7869
Mailing address
401 GROVELAND AVE, MINNEAPOLIS, MN 55403-3219
(612) 872-1161
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP-1767
MN
103TC0700X
Clinical Psychologist
Primary
LP-1767
MN
103TC2200X
Clinical Child & Adolescent Psychologist
LP-1767
MN
103TP0814X
Psychoanalysis Psychologist
LP-1767
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47817GI
BLUE CROSS BLUE SHIELD MN
MN
01
—
61-80064
MEDICA
MN
01
—
66549
PREFERRED ONE CH PLAN
MN
01
—
93551
HEALTH PARTNERS
MN
Enumeration date
05/22/2007
Last updated
03/05/2011
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