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Dr. Judy Lee Antonello, PHD
Clinical Psychologist in West St Paul, Minnesota
NPI 1235238049

Judy Lee Antonello is a Clinical Psychologist based in Mendota Heights, MN and is specialized in Clinical. Judy Lee Antonello practices in West St Paul, MN and has the professional credentials of PHD. The NPI Number for Judy Lee Antonello is 1235238049 and holds a License No. LP0444 (Minnesota).

The current practice location address for Judy Lee Antonello is 260 Wentworth Ave E # 124, West St Paul, MN and can be reached out via phone at 651-688-2335 and via fax at 651-688-2669.

Location: 260 Wentworth Ave E # 124, West St Paul, MN, 55118-2750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235238049
Provider Name
Judy Lee Antonello
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
260 Wentworth Ave E # 124, West St Paul, MN, 55118-2750
Phone Number
651-688-2335
Fax Number
651-688-2669
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HP40905 01 MN HEALTH PARTNERS INDIVIDUA
31P64AN 01 MN BC BS GROUP ID
6146579 01 MEDICA
9233 01 MN HEALTH PARTNERS GROUP ID
104570 01 MN UCARE
100352600 05 MN
31P65AN 01 MN BC BS INDIVIDUAL ID
institution
Provider Business Practice Location Address Details
Address
260 Wentworth Ave E # 124
City
West St Paul
State
Minnesota
Zip
55118-3525
Phone Number
651-688-2335
Fax Number
651-688-2669
person
Provider Business Mailing Address Details
Address
260 Wentworth Ave E # 124
City
West St Paul
State
Minnesota
Zip
55118-3525
Phone Number
651-688-2335
Fax Number
651-688-2669
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
LP0444 (Minnesota)
Definition
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.
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