MEDICARE: EMILY STEIDEL LAMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	4311	MN

General Provider Information

NPI Number	:	1013613603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY STEIDEL LAMFT

Provider Business Mailing Address
First Line	:	1539 6TH ST NE APT 2
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55413-1318
Country	:	US
Telephone Number	:	626-353-0586
Fax Number	:

Provider Business Practice Location Address
First Line	:	1539 6TH ST NE APT 2
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55413-1318
Country	:	US
Telephone Number	:	626-353-0586
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2023
Last Update Date	:	02/06/2023

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