Individual
DR. MARK KUPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., LP, LMFT
Contact information
Practice address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111
Mailing address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1807
MN
106H00000X
Marriage & Family Therapist
Primary
000204
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106236
UC
MN
01
—
570010
P1
MN
01
—
57422KU
BCBS
MN
01
—
62-20092
UBH
MN
Enumeration date
07/27/2006
Last updated
09/11/2025
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