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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELYN K. WIERSMA, PH. D., LP, PLLC

Active Organization

JACQUELYN K. WIERSMA, PH. D., LP, PLLC is a Clinical Psychologist organization located in MINNETONKA, Minnesota. NPI 1770696726 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · MINNETONKA, MN

Registration Details

NPI Number
1770696726
Provider Type
Organization
NPI Issued
Aug 16, 2006 (19.975737330429 yrs)
Last Updated
Apr 5, 2017
License
LP1583 (MN)

Practice Information

Address
3931 AUBURN DR
MINNETONKA, MN, 553055196
Browse MN providers · Browse ZIP 55305
Phone
9529389499
Fax
9529389499
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Organizations in MINNETONKA, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.