DR. PH.D. Judy Lee Antonello, NPI 1235238049
Clinical Psychologist in West St Paul, MN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1235238049
NPI Entity Type Individual
Provider Name DR. PH.D. Judy Lee Antonello
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 260 Wentworth Ave E # 124, West St Paul, MN, US
Provider Mailing Address 825 Deer Trail Pt, Mendota Heights, MN, US, 551182750
Gender Female
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

103TC0700X

Taxonomy Name Clinical Psychologist
Classification

Psychologist

Group

Behavioral Health & Social Service Providers

License No. LP0444
License State MN
Description A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Business Address

DR. PH.D. Judy Lee Antonello
260 Wentworth Ave E # 124

West St Paul, MN, US

Phone: 651-688-2335
Fax: 651-688-2669

Mailing Address

DR. PH.D. Judy Lee Antonello
825 Deer Trail Pt
Mendota Heights, MN, US
ZIP 551182750
Phone: 651-688-2335
Fax: 651-688-2669

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
HP40905 MN HEALTH PARTNERS INDIVIDUA 01
31P64AN MN BC BS GROUP ID 01
6146579 MEDICA 01
9233 MN HEALTH PARTNERS GROUP ID 01
104570 MN UCARE 01
100352600 MN MEDICAID 05
31P65AN MN BC BS INDIVIDUAL ID 01

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Twin Cities Anaplastology

Organization

Customized Equipment (DME)

1880 Livingston Ave Ste 103

West Saint Paul, MN

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