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

DR. STEPHEN JOHN ANTONELLO, PH.D.

Active Sole Proprietor

DR. STEPHEN JOHN ANTONELLO, PH.D. is a Clinical Psychologist healthcare provider located in WEST ST PAUL, Minnesota. NPI 1760548366 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · WEST ST PAUL, MN

Registration Details

NPI Number
1760548366
Provider Type
Individual
Gender
Male
NPI Issued
Dec 28, 2006 (19.585618411689 yrs)
Last Updated
Jan 30, 2017
License
LP1390 (MN)
Sole Proprietor
Yes

Practice Information

Address
66 THOMPSON AVE E
SUITE 102
WEST ST PAUL, MN, 551183184
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
DR. JUDY LEE ANTONELLO PH.D. 1235238049
TERESA CATHERINE MARKES MA, LP 1598832974
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.