Jacquelyn K. Wiersma, Ph. D., Lp, Pllc in Minnetonka - Clinical
Jacquelyn K. Wiersma, Ph. D., Lp, Pllc - NPI 1770696726
Jacquelyn K. Wiersma, Ph. D., Lp, Pllc is a Clinical in Minnetonka, Minnesota. Jacquelyn K. Wiersma, Ph. D., Lp, Pllc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacquelyn K. Wiersma, Ph. D., Lp, Pllc is 1770696726. The last update date is 2017-04-05.
Jacquelyn K. Wiersma, Ph. D., Lp, Pllc'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, Ph. D., Lp, Pllc is 3931 Auburn Dr, Minnetonka, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jacquelyn K. Wiersma, Ph. D., Lp, Pllc |
|---|---|
| Address | 3931 Auburn Dr, Minnetonka, Minnesota |
| Phone Number | 9529389499 |
| Fax Number | 9529389499 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF MANA |
|---|---|
| Authorized Official Name | Wiersma K. Jacquelyn |
| Credentials | PH. D. |
| Telephone Number | 9529389499 |
NPI Number Detail
| NPI Number | 1770696726 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2017-04-05 |
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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jacquelyn K. Wiersma, Ph. D., Lp, Pllc by the Centers for Medicare & Medicaid Services?
The Jacquelyn K. Wiersma, Ph. D., Lp, Pllc has been issued the NPI (National Provider Identifier) 1770696726 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jacquelyn K. Wiersma, Ph. D., Lp, Pllc is physically located?
The Jacquelyn K. Wiersma, Ph. D., Lp, Pllc is physically situated at the following address: 3931 Auburn Dr, Minnetonka, MN, 553055196.
What is Jacquelyn K. Wiersma, Ph. D., Lp, Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jacquelyn K. Wiersma, Ph. D., Lp, Pllc is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770696726 to Jacquelyn K. Wiersma, Ph. D., Lp, Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1770696726 to Jacquelyn K. Wiersma, Ph. D., Lp, Pllc on 2006-08-16.
As of what date was the information pertaining to Jacquelyn K. Wiersma, Ph. D., Lp, Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jacquelyn K. Wiersma, Ph. D., Lp, Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-04-05.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY