institution
Stephanie Untiedt, Phd, Llc
Mental Health Counselor in Golden Valley, Minnesota
NPI 1073903886

Stephanie Untiedt, Phd, Llc is a Mental Health Counselor based in Golden Valley, MN and is specialized in Mental Health. Stephanie Untiedt, Phd, Llc practices in Golden Valley, MN. The NPI Number for Stephanie Untiedt, Phd, Llc is 1073903886 and holds a License No. 4599 (Minnesota).

The current practice location address for Stephanie Untiedt, Phd, Llc is 5101 Olson Memorial Hwy Ste 4007, Golden Valley, MN and can be reached out via phone at 763-595-7294 and via fax at 763-595-7293.

Location: 5101 Olson Memorial Hwy Ste 4007, Golden Valley, MN, 55422-5164
institution
Provider Profile Details
NPI Number
1073903886
Provider Name
Stephanie Untiedt, Phd, Llc
Credential
Provider Entity Type
Organization
Address
5101 Olson Memorial Hwy Ste 4007, Golden Valley, MN, 55422-5164
Phone Number
763-595-7294
Fax Number
763-595-7293
Provider Enumeration Date
02/01/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1093756041 05 MN
institution
Provider Business Practice Location Address Details
Address
5101 Olson Memorial Hwy Ste 4007
City
State
Zip
55422-5164
Phone Number
763-595-7294
Fax Number
763-595-7293
person
Provider Business Mailing Address Details
Address
5101 Olson Memorial Hwy Ste 4007
City
State
Zip
55422-5164
Phone Number
763-595-7294
Fax Number
763-595-7293
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4599 (Minnesota)
Definition
Definition to come...
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