Individual
MRS. VICTORIA RUPPENTHAL STACHURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LP
Contact information
Practice address
9531 W 78TH ST, SUITE 340, EDEN PRAIRIE, MN 55344-3810
(952) 944-3161
(952) 944-0028
Mailing address
8100 LEA RD, BLOOMINGTON, MN 55438-1260
(952) 944-9864
(952) 944-0028
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP 0855
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61-81168
MEDICA
MN
01
—
6153777
UBH
MN
01
—
70931
UHC
MN
01
—
ON146ST
BCBS
MN
Enumeration date
08/15/2006
Last updated
10/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us