Stephanie P. Pedersen, L.P.
NPI 1104070952ActiveIndividual· Psychologist· Minnetonka, MN
Psychologist (L.P.) in Minnetonka, Minnesota, licensed in MN, with an NPI issued in November 2008. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1104070952 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | L.P. |
| Sole proprietor | No |
| NPI issued | Nov 6, 2008 |
| Last updated in NPPES | Nov 20, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | LP 4964 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MN) |
|---|
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