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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JUDY LEE ANTONELLO, PH.D.

Active Sole Proprietor

DR. JUDY LEE ANTONELLO, PH.D. is a Clinical Psychologist healthcare provider located in WEST ST PAUL, Minnesota. NPI 1235238049 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · WEST ST PAUL, MN

Registration Details

NPI Number
1235238049
Provider Type
Individual
Gender
Female
NPI Issued
Sep 21, 2006 (19.855447505663 yrs)
Last Updated
Feb 28, 2021
License
LP0444 (MN)
Sole Proprietor
Yes

Practice Information

Address
260 WENTWORTH AVE E # 124
WEST ST PAUL, MN, 551183525
Browse MN providers · Browse ZIP 55118
Phone
6516882335
Fax
6516882669
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in WEST ST PAUL, MN

Name Credential NPI
DR. LISA HOFFMAN-KONN PHD 1407863269
TERESA CATHERINE MARKES MA, LP 1598832974
DR. STEPHEN JOHN ANTONELLO PH.D. 1760548366
DR. PETER ANDREW LYNN PH.D., L.P. 1093486110
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.