Individual provider · Type 1 NPI
Judy Lee Antonello, PhD
Clinical Psychologist · West St. Paul, MN
Practice location
260 Wentworth Ave E # 124
West St. Paul, MN 55118-3525
Fax (651) 688-2669
Mailing address
825 Deer Trail Pt
Mendota Heights, MN 55118-2750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | LP0444 (MN) |
Clinical Psychologist: 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 discip…
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About NPI 1235238049
Judy Lee Antonello, PhD's National Provider Identifier is 1235238049, issued on Sep 21, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in West St. Paul, MN. The record was last updated on Feb 28, 2021.