STEPHANIE P PEDERSEN (L.P.) – Psychologist, NPI 1104070952

STEPHANIE P PEDERSEN (L.P.) is a healthcare provider. based in Minnetonka, Minnesota. specializing in Psychologist. They hold the professional credentials L.P.. They hold a License No. LP 4964 (MN). The NPI Number for STEPHANIE P PEDERSEN (L.P.) is 1104070952

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE P PEDERSEN (L.P.)
NPI
1104070952
Phone
(952) 932-7277
Address
15320 Minnetonka Blvd
Enumeration Date
6 November 2008
Last Update Date
20 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529327277
Graduation Year
2006 (20 years ago)
PAC ID
1951458447
Group Practice PAC ID
8224005491
Professional Enrollment ID
I20090421000321
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for STEPHANIE P PEDERSEN (L.P.)

  • 15320 Minnetonka Blvd

    #200

    Minnetonka, MN 55345

    Phone: (952) 932-7277

    Fax: (952) 932-9827

    Type: Location

  • County Road 101, Minnetonka, Hennepin County, Minnesota, 55345, United States

    RELATE, INC.

    MINNETONKA, MN 55345

    Phone: (952) 932-7277

    Fax: (952) 932-9827

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55345)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224005491View full group profile
NameSpecialtyState
Mental Health CounselorMN
Clinical Social WorkerMN
Mental Health CounselorCT
Clinical Social WorkerMN
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical PsychologistMN
Mental Health CounselorMN
Clinical Social WorkerMN
-MN

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Frequently asked questions

How do I look up STEPHANIE P PEDERSEN (L.P.) by NPI?
Use NPI 1104070952 when you need to reference STEPHANIE P PEDERSEN (L.P.) in forms, claims, or directories.
Is STEPHANIE P PEDERSEN (L.P.) active in the national directory?
STEPHANIE P PEDERSEN (L.P.)'s public NPI profile is in an active state.
What kind of provider is STEPHANIE P PEDERSEN (L.P.)?
The page reflects Psychologist for STEPHANIE P PEDERSEN (L.P.). Clinical services aligned with this taxonomy classification.
Where is STEPHANIE P PEDERSEN (L.P.)'s primary listing?
We display Minnetonka, Minnesota because that is what the record indicates for STEPHANIE P PEDERSEN (L.P.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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