Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephanie Summer Kalliman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083133540

Stephanie Summer Kalliman is a Marriage and Family Therapist in Stillwater, Minnesota. Qualified in 2017, 9 years ago. Practices as a sole proprietor.

Years since qualifying
9
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

6381 Osgood Ave N Bldg C
Stillwater, MN 55082-6118
Phone: (507) 403-8190
Fax: (651) 383-4544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083133540
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 15, 2017
Last updated in NPPESSeptember 23, 2021
Certification dateNovember 19, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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