| Stellrecht Clinic | |
|
570 Ashbury St Suite 300 St Paul MN 55104 | |
| (651) 699-7050 | |
| (651) 699-8698 |
| Full Name | Stellrecht Clinic |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 570 Ashbury St, St Paul, Minnesota |
| Authorized Official Name and Position | Diane Louise Stellrecht (PRESIDENT) |
| Authorized Official Contact | 6516997050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stellrecht Clinic 570 Ashbury St Suite 300 St Paul MN 55104 Ph: (651) 699-7050 | Stellrecht Clinic 570 Ashbury St Suite 300 St Paul MN 55104 Ph: (651) 699-7050 |
| NPI Number | 1609939388 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609939388 | NPI | - | NPPES |
| HP37858 | Other | MN | HEALTH PARTNERS |
| 6119335 | Other | MEDICA | |
| 28682ST | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1130 (Minnesota) | Primary |
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