MEDICARE: MS. ELIZABETH STOCKINGER M.S.,LP, LMFT

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	103T00000X	Psychologist	LP1299	MN
2	106H00000X	Marriage & Family Therapist	0665	MN

General Provider Information

NPI Number	:	1568687184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH STOCKINGER M.S.,LP, LMFT

Provider Business Mailing Address
First Line	:	91 SNELLING AVE N STE 230
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-6756
Country	:	US
Telephone Number	:	651-641-1846
Fax Number	:	612-926-7178

Provider Business Practice Location Address
First Line	:	91 SNELLING AVE N STE 230
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-6756
Country	:	US
Telephone Number	:	651-641-1846
Fax Number	:	612-926-7178

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

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	09/11/2025

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