Debra Elizabeth Stumvoll, M.A., L. P.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP5170 Issued in MN

Practice address

2025 Stearns Way
Suite 111
Saint Cloud, MN 56303-4491

Phone

(320) 253-3540

Fax

(320) 253-1475

NPI assigned

Nov 20, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1497083000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32351 91ST AVE",
            "city": "SAINT JOSEPH",
            "state": "MN",
            "postal_code": "563749673",
            "telephone_number": "320-363-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 STEARNS WAY",
            "address_2": "SUITE 111",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034491",
            "telephone_number": "320-253-3540",
            "fax_number": "320-253-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMVOLL",
        "first_name": "DEBRA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.A., L. P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5170",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Suzanne Stucke
• Jennifer Lee Stueber
• Samantha J Stueve, LSW
• Svetlana Stukalova
• Michele Stumpf, RN
• Laura Ann Stumvoll, RN
• Phil Grant Sturlaugson, MSW
• Maggie Anne Sturm, MS, LADC
• Mary Margaret Stuvland
• Sharath Seshadrinath Subramanian, M.D

• Psychologist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.