Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacquelyn K. Wiersma, Ph D., LP, PLLC

Organization Clinical Psychologist · NPI 1770696726

Jacquelyn K. Wiersma, Ph D., LP, PLLC is a Clinical Psychologist in Minnetonka, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
LP — Limited partnership
A form of business registration, not a clinical qualification.
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3931 Auburn Dr
Minnetonka, MN 55305-5196
Phone: (952) 938-9499
Fax: (952) 938-9499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP1583 (MN)

Record details

NPI number1770696726
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacquelyn Wiersma — Chief Manager · (952) 938-9499
NPI enumeratedAugust 16, 2006
Last updated in NPPESApril 5, 2017
Mailing address3931 Auburn Dr, Minnetonka, MN 55305-5196

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