MS. KIM MARIE GLEICH


Address: 14949 62nd St N, Stillwater, MN 55082-6132
Phone: 6514306483

MS. KIM MARIE GLEICH (NPI# 1861653750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861653750
Entity Type Individual
Full Name MS. KIM MARIE GLEICH
Credential MA, LP
Practice Address 14949 62nd St N
Stillwater
MN 55082-6132
Mailing Address 7067 Lower 94th St S
Cottage Grove
MN 55016-3855
Practice Telephone 6514306483
Mailing Telephone 6514580532
Enumeration Date 2008-06-23
Last Update Date 2019-05-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
LP5146 MN Behavioral Health & Social Service Providers

Office Location

Street Address 14949 62ND ST N
City STILLWATER
State MN
Zip Code 55082-6132

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902421092 Nichole Margaret Aguilera Torres Social Worker 14949 62nd St N, Stillwater, MN 55082-6102 2020-06-15
1255956496 Haley Dyan Morgan Shepard Counselor 14949 62nd St N, Stillwater, MN 55082-6132 2020-06-13
1720611452 Brooke A Hendrickson Social Worker 14949 62nd St N, Stillwater, MN 55082-6132 2020-02-21
1962051615 Amy Bernstein Counselor 14949 62nd St N, Stillwater, MN 55082-6102 2019-09-05
1295382323 Carrie Tws Krautkremer Counselor 14949 62nd St N, Stillwater, MN 55082-6102 2019-08-22
1275189433 Steven Duane Spandl Counselor 14949 62nd St N, Stillwater, MN 55082-6132 2019-08-14
1093361669 Connie Yanez Counselor 14949 62nd St N, Stillwater, MN 55082-6132 2019-08-10
1902452584 Sara Conway Counselor 14949 62nd St N, Stillwater, MN 55082-6132 2019-08-10
1053967604 Bailey Stottrup Counselor 14949 62nd St N, Stillwater, MN 55082-6132 2019-08-09
1689229494 Kevin Joseph Jacques Counselor 14949 62nd St N, Stillwater, MN 55082-6132 2019-08-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154947455 Lucas William Schmidt Optometrist 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 2020-06-23
1982238085 Jerald Haley Technician 924 6th Ave. S., Stillwater, MN 55082 2020-02-27
1801457387 Sun Trad Chin Acu Mn LLC Acupuncturist Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 2019-06-25
1598243990 Carlson Distinctive Dentistry, Pllc Dentist 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 2018-07-30
1073001624 Lindsay Beth Briggs Chiropractor 200 Chestnut St E, Ste 202, Stillwater, MN 55082 2018-04-30
1578932943 Group Health Plan, Inc Family Medicine 921 Greeley Street, Stillwater, MN 55082 2015-09-16
1184001919 Grant Rohrig Specialist/Technologist 8727 Jeffrey Ave North, Stillwater, MN 55082 2015-04-30
1346688991 Kellie Ann Seth Chiropractor 200 Chestnut St E Ste 202, Stillwater, MN 55082 2013-06-05
1770928426 Rivertown Animal Hospital Veterinarian 135 New England Place, Stillwater, MN 55082 2013-05-08
1285929265 Healtheast Medical Research Institute Dietitian, Registered 2900 Curve Crest Blvd, Stillwater, MN 55082 2011-06-17
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790191252 Jenna Wieden Psychologist 333 Main St N Ste 110, Stillwater, MN 55082-5054 2014-07-05
1982817805 Jane Louise Anglin Psychologist 6381 Osgood Ave N # C, Stillwater, MN 55082-6118 2007-05-07
1447301908 Mary G Freitag Psychologist 10480 Perkins Ave N, Stillwater, MN 55082-9273 2007-01-12
1598820367 Donae Verbena Gustafson Psychologist 6120 Oren Ave N, Stillwater, MN 55082-6155 2006-12-22
1376628164 Bonnie Joy Scott Psychologist 215 W Mcelroy Rd, Suite 1, Stillwater, OK 74075-3537 2006-10-27
1952416638 Camille Mary Kulka Psychologist 333 Main St N Ste 205, Stillwater, MN 55082-5054 2006-08-20
1609886407 Patrick Edward Shields Psychologist 1940 Greeley St S, 202a, Stillwater, MN 55082-5097 2006-08-08
1316954746 Lawrence Benjamin Fulgenzi Psychologist 6414 E 19th Ave, Stillwater, OK 74074-8472 2006-08-01
1669495453 Barbara Walker Psychologist 375 Orleans St E, Stillwater, MN 55082-5830 2006-07-25
1063458008 Laurie Patrice Clemens Psychologist 619 S Lowry St, Stillwater, OK 74074-3627 2006-06-20
Find all providers in STILLWATER

Competitor

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City STILLWATER
Zip Code 55082

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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