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Dr. Stephen John Antonello, PHD
Clinical Psychologist in West St Paul, Minnesota
NPI 1760548366

Stephen John Antonello is a Clinical Psychologist based in Mendota Heights, MN and is specialized in Clinical. Stephen John Antonello practices in West St Paul, MN and has the professional credentials of PHD. The NPI Number for Stephen John Antonello is 1760548366 and holds a License No. LP1390 (Minnesota).

The current practice location address for Stephen John Antonello 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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760548366
Provider Name
Stephen John Antonello
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
66 Thompson Ave E, West St Paul, MN, 55118-2750
Phone Number
651-688-2335
Fax Number
651-688-2669
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103667 01 MN UCARE
148547400 05 MN
P00393789 01 RAILROAD MEDICARE INDIV#
6119337 01 MEDICA
OE222AN 01 MN BC BS INDIVIDUAL ID
HP40542 01 MN HEALTH PARTNERS INDIVIDUA
institution
Provider Business Practice Location Address Details
Address
66 Thompson Ave E
City
West St Paul
State
Minnesota
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
West St Paul
State
Minnesota
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
103TC0700X
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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