Individual provider · Type 1 NPI

Stephen John Antonello, PhD

Clinical Psychologist · West St. Paul, MN

NPI number 1760548366 Active

Practice location

66 Thompson Ave E, Suite 102
West St. Paul, MN 55118-3184

Fax (651) 688-2669

Mailing address

825 Deer Trail Pt
Mendota Heights, MN 55118-2750

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XLP1390 (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 1760548366

Stephen John Antonello, PhD's National Provider Identifier is 1760548366, issued on Dec 28, 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 Jan 30, 2017.