Provider Demographics
NPI:1275689044
Name:STUMP, MARGARET (LMFT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:STUMP
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-3423
Mailing Address - Country:US
Mailing Address - Phone:507-344-1894
Mailing Address - Fax:
Practice Address - Street 1:116 S 3RD ST
Practice Address - Street 2:
Practice Address - City:SAINT PETER
Practice Address - State:MN
Practice Address - Zip Code:56082-2043
Practice Address - Country:US
Practice Address - Phone:507-931-8040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1424106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1047165OtherPREFERRED ONE INDIV #
MNHP61524OtherHEALTH PARTNERS INDIV #
MN078H3STOtherBCBS INDIVIDUAL #
MN113647OtherUCARE INDIVIDUAL #