Organization
DIANE STELLRECHT & ASSOC INC
Active
Other names
Stellrecht Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE LOUISE STELLRECHT MS (PRESIDENT)
(651) 699-7050
Entity
Organization
Contact information
Practice address
570 ASHBURY ST, SUITE 300, ST PAUL, MN 55104
(651) 699-7050
(651) 699-8698
Mailing address
570 ASHBURY ST, SUITE 300, ST PAUL, MN 55104
(651) 699-7050
(651) 699-8698
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1130
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28682ST
BCBS
MN
01
—
6119335
MEDICA
—
01
—
HP37858
HEALTH PARTNERS
MN
Enumeration date
12/18/2006
Last updated
08/22/2020
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