institution
Stephen J. Antonello, Incorporated
Clinical Psychologist in West St Paul, Minnesota
NPI 1326147133

Stephen J. Antonello, Incorporated is a Clinical Psychologist based in Mendota Heights, MN and is specialized in Clinical. Stephen J. Antonello, Incorporated practices in West St Paul, MN. The NPI Number for Stephen J. Antonello, Incorporated is 1326147133 and holds a License No. LP1390 (Minnesota).

The current practice location address for Stephen J. Antonello, Incorporated is 66 Thompson Ave E, West St Paul, MN and can be reached out via phone at 651-688-2335 and via fax at 651-688-2669.

Location: 66 Thompson Ave E, West St Paul, MN, 55118-2750
institution
Provider Profile Details
NPI Number
1326147133
Provider Name
Stephen J. Antonello, Incorporated
Credential
Provider Entity Type
Organization
Address
66 Thompson Ave E, 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
DF8617 01 RAILROAD MEDICARE GRP ID
103667 01 MN UCARE
59778AN 01 MN BC BS GROUP ID
760249900 05 MN
6119337 01 MEDICA
73464 01 MN HEALTH PARTNERS GROUP
institution
Provider Business Practice Location Address Details
Address
66 Thompson Ave E
City
State
Zip
55118-3184
Phone Number
651-688-2335
Fax Number
651-688-2669
person
Provider Business Mailing Address Details
Address
66 Thompson Ave E
City
State
Zip
55118-3184
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
License No.
LP1390 (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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