National Provider Identifier Database

DIANE L STELLRECHT, PHD, LP – NPI #1013108075
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

DIANE L STELLRECHT, PHD, LP
4027 COUNTY ROAD 25
MINNEAPOLIS, MN55416-2629
Phone: 612-925-6033
Fax: 612-925-8496
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Adult Development & Aging 103TA0700X

* Indicates primary specialty

NPI Profile & details for DIANE L STELLRECHT

NPI Number 1013108075
Credentials PHD, LP
Entity Individual
Enumeration date 08/06/2007
Last updated 12/22/2021 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • MN License #: 1130
  • MN License #: LP1130
  • MN Medicaid: 588350400
  • MN Other: 28682ST BCBS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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