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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 Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DIANE L STELLRECHT · (Female)

NPI # 1013108075
Status Active
Credentials PHD, LP
Entity Individual
Enumeration date 08/06/2007
Last updated 12/22/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 1130
  • MN License # LP1130
  • MN Medicaid 588350400
  • MN Other 28682ST BCBS
Hospital affiliation(s) Not Available
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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