Healthcare Provider Details

I. General information

NPI: 1841276094
Provider Name (Legal Business Name): PSYCHOLOGICAL HEALTH ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 RAMSEY ST RAMSEY PROFESSIONAL BLDG.
SAINT PAUL MN
55102-2323
US

IV. Provider business mailing address

311 RAMSEY ST RAMSEY PROFESSIONAL BLDG.
SAINT PAUL MN
55102-2323
US

V. Phone/Fax

Practice location:
  • Phone: 612-293-0811
  • Fax:
Mailing address:
  • Phone: 612-293-0811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: JUDITH B. STELLER
Title or Position: OWNER
Credential: PH.D., L.P.
Phone: 612-293-0811