Jacquelyn K. Wiersma, Ph. D., Lp, Pllc

LBN: Jacquelyn K. Wiersma, Ph. D., Lp, Pllc
Jacquelyn K. Wiersma, Ph. D., Lp, Pllc is an health care organization with primary practice located at 3931 Auburn Dr , Minnetonka MN 55305-5196. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Jacquelyn K. Wiersma, Ph. D., Lp, Pllc can be contacted via phone (952) 938-9499, or through Wiersma, Jacquelyn K. via phone (952) 938-9499.

Contact Information

Primary practice address
3931 Auburn Dr Minnetonka MN 55305-5196
Phone: (952) 938-9499
Fax: (952) 938-9499
Website:
Map and Directions
Authorized official contact:
Name: Wiersma, Jacquelyn K. PH. D.
Phone: (952) 938-9499

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP1583 Minnesota

Profile Details

NPI number 1770696726
LBN Legal business name Jacquelyn K. Wiersma, Ph. D., Lp, Pllc
DBA Doing business as
Authorized official Wiersma, Jacquelyn K. PH. D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2006
Last updated Apr 5th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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