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Dr. Stephanie Ann Untiedt

Clinical Psychologist Counseling Psychologist

4343 Abbott Ave S
Minneapolis , Minnesota 55410-1442

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Dr. Stephanie Ann Untiedt

Clinical Psychologist Counseling Psychologist

4343 Abbott Ave S
Minneapolis , Minnesota 55410-1442

(612) 206-1465

Write a Review Save Call

Dr. Stephanie Ann Untiedt

Clinical Psychologist Counseling Psychologist

4343 Abbott Ave S
Minneapolis , Minnesota 55410-1442

(612) 206-1465 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Clinical Psychologist
  • Counseling Psychologist

Languages spoken

  • English

Location

4343 Abbott Ave S Minneapolis , Minnesota 55410-1442

First Address

  • Dr. Stephanie Ann Untiedt
  • 4343 Abbott Ave S
  • Minneapolis, MN
  • Zip : 55410-1442
  • Phone : (612) 206-1465

Second Address

  • Dr. Stephanie Ann Untiedt
  • 4343 Abbott Ave S
  • Minneapolis, MN
  • Zip : 55410-1442
  • Phone : (612) 206-1465

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FAQs


Where did Dr. Stephanie Ann Untiedt attend graduate school?

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Where did Dr. Stephanie Ann Untiedt do her residency?

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Where did Dr. Stephanie Ann Untiedt do her fellowship?

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Is Dr. Stephanie Ann Untiedt board certified?

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What type of doctor is Dr. Stephanie Ann Untiedt

Counseling Psychologist

In what state does Dr. Stephanie Ann Untiedt practice in?

Minnesota

Where is Dr. Stephanie Ann Untiedt ’s practice located?

4343 Abbott Ave S , Minneapolis, Minnesota, 55410-1442

What is Dr. Stephanie Ann Untiedt ’s gender?

Female

Is Dr. Stephanie Ann Untiedt a sole practitioner?

No

Is Dr. Stephanie Ann Untiedt accepting new patients?

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What languages does Dr. Stephanie Ann Untiedt speak?

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Does Dr. Stephanie Ann Untiedt accept insurance?

Yes, Dr. Stephanie Ann Untiedt accepts insurance

Does Dr. Stephanie Ann Untiedt offers telemedicine?

Dr. Stephanie Ann Untiedt has not indicated if she offers telemedicine

What is Dr. Stephanie Ann Untiedt ’s professional license number?

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What is Dr. Stephanie Ann Untiedt ’s NPI number?

1093756041

Does Dr. Stephanie Ann Untiedt have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 103G00000X Clinical Psychologist 4599 MN
N 103TC0700X Clinical Psychologist 4599 MN
Y 103TC1900X Counseling Psychologist 4599 MN

National Provider Identifier

NPI 1093756041
Provider Name Dr. Stephanie Ann Untiedt
First Address Minneapolis, MN 55410-1442
Second Address Minneapolis, MN 55410-1442
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 09/06/2006
Last Update Date 01/02/2015

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
385486800 (05) MN

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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