Individual provider · Type 1 NPI

Mary J. Mandello, PhD

Psychologist · St. Louis, MO

NPI number 1922082569 Active

Practice location

401 N Lindbergh Blvd, Suite 300
St. Louis, MO 63141-7839

Fax (314) 997-1196

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X00771 (MO)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1922082569

Mary J. Mandello, PhD's National Provider Identifier is 1922082569, issued on Dec 6, 2005. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 13, 2026.