Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Stephanie Ann Untiedt, PHD, LP

Individual provider Counseling Psychologist · NPI 1093756041

Dr. Stephanie Ann Untiedt, PHD, LP is a Counseling Psychologist in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4343 Abbott Ave S
Minneapolis, MN 55410-1442
Phone: (612) 206-1465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 4599 (MN)
Clinical Psychologist Taxonomy 103TC0700X · Licence 4599 (MN)

Record details

NPI number1093756041
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LP
Sole proprietorYes
NPI enumeratedJune 9, 2006
Last updated in NPPESFebruary 1, 2015

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