Individual
DR. DENA MARIE WANNER-PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., LP
Contact information
Practice address
3400 W 66TH ST STE 400, EDINA, MN 55435-2134
(612) 672-6999
(612) 672-2691
Mailing address
200 4TH AVE W, SHAKOPEE, MN 55379-1220
(952) 496-8565
(952) 496-8430
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5133
MN
103TC0700X
Clinical Psychologist
LP575P
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841442209
—
MN
Enumeration date
10/16/2008
Last updated
01/31/2020
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