Whalio Doctors

NPI 1013108075

Diane Louise Stellrecht, PHDLP

Practitioner Clinical Psychologist Minneapolis, MN

Practice location

Address
4027 County Road 25, Minneapolis, MN 55416-2629
Phone
(612) 925-6033
Fax
(612) 925-8496
Mailing address
4240 Park Glen Rd, St Louis Park, MN 55416-5427

Registered specialties (3)

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence LP1130 (MN)
Adult Development & Aging Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TA0700X Licence 1130 (MN)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1130 (MN)

Registry record

NPI
1013108075
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Aug 2007
Record last updated
22 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.