Dr. Penny Sue Giesbrecht, Psy.D., L.P.
Psychologist, Clinical in Shoreview, MN. Individual provider (NPI-1).
NPI number1396830758
StatusActive
Last updated in NPPESMay 29, 2024
Details
- NPI
- 1396830758
- Entity type
- Individual (NPI-1)
- Name
- Dr. Penny Sue Giesbrecht
- Credential
- Psy.D., L.P.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 3, 2006
- Certification date
- May 29, 2024
- Last updated
- May 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | LP3788 | MN | Yes |
Practice location
521 Tanglewood DriveShoreview, MN 55126
Phone 651-486-0122 · Fax 651-481-8661
Mailing address
410 Harriet CircleShoreview, MN 55126
Phone 651-486-0122 · Fax 651-481-8661
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