Jacquelyn K. Wiersma in Minnetonka - Clinical
Jacquelyn K. Wiersma - NPI 1386757300
Jacquelyn K. Wiersma is a Clinical in Minnetonka, Minnesota. Jacquelyn K. Wiersma practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacquelyn K. Wiersma is 1386757300. The last update date is 2017-02-03.
Jacquelyn K. Wiersma's current location address is 3931 Auburn Dr, Minnetonka, Minnesota. You can contact this provider via phone number 9529389499 and fax number 9529389499. The mailing address for Jacquelyn K. Wiersma is 3931 Auburn Dr, Minnetonka, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn K. Wiersma |
|---|---|
| Address | 3931 Auburn Dr, Minnetonka, Minnesota |
| Phone Number | 9529389499 |
| Fax Number | 9529389499 |
| Sole Proprietor | N |
| Credentials | PH. D. |
NPI Number Detail
| NPI Number | 1386757300 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2017-02-03 |
Provider Mailing Address Detail
| Address | 3931 Auburn Dr |
|---|---|
| City | Minnetonka |
| State | Minnesota (MN) |
| Post Code | 553055196 |
| Phone Number | 9529389499 |
| Fax Number | 9529389499 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP1583 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code issued to Jacquelyn K. Wiersma by the Centers for Medicare & Medicaid Services?
The Jacquelyn K. Wiersma has been assigned the NPI (National Provider Identifier) 1386757300 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jacquelyn K. Wiersma?
The Jacquelyn K. Wiersma is physically situated at 3931 Auburn Dr, in the city of Minnetonka, state of MN, with the postal code 553055196.
What is the Jacquelyn K. Wiersma's area of specialization and corresponding taxonomy classification?
The Jacquelyn K. Wiersma's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Jacquelyn K. Wiersma receive the assignment of its 1386757300 from the Centers for Medicare & Medicaid Services?
The Jacquelyn K. Wiersma was issued its 1386757300 by the Centers for Medicare & Medicaid Services on 2006-08-16.
As of what date were the details related to Jacquelyn K. Wiersma most recently updated or revised?
The information pertaining to Jacquelyn K. Wiersma, including its address, specialty, and other relevant details, was last updated or revised on 2017-02-03.