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 provides Clinical Psychologist services 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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