Individual
STACEY L SEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
1300 S 2ND ST, #180, MINNEAPOLIS, MN 55454-1075
(612) 625-1500
(612) 626-8311
Mailing address
2015 CENTRAL AVE NE APT 315, MINNEAPOLIS, MN 55418-4520
(651) 231-9661
(612) 626-8311
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4742
MN
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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