Provider Demographics
NPI:1518177641
Name:STIEPER, DIANE LORI (MA LMFT)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:LORI
Last Name:STIEPER
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1654 COUNTY HIGHWAY 8
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:MN
Mailing Address - Zip Code:56178-4014
Mailing Address - Country:US
Mailing Address - Phone:507-828-2268
Mailing Address - Fax:
Practice Address - Street 1:1400 E LYON ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258-2502
Practice Address - Country:US
Practice Address - Phone:507-828-2127
Practice Address - Fax:507-537-7950
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1567106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist