Antonello, Judy Lee

Antonello, Judy Lee is an sole proprietor health care provider with primary practice located at 260 Wentworth Ave E # 124 , West St Paul MN 55118-3525. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Antonello, Judy Lee can be contacted via phone (651) 688-2335.

Contact Information

Primary practice address
260 Wentworth Ave E # 124 West St Paul MN 55118-3525
Phone: (651) 688-2335
Fax: (651) 688-2669
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP0444 Minnesota

Profile Details

NPI number 1235238049
LBN Legal business name Antonello, Judy Lee
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Feb 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235238049 NPPES
Minnesota Other HP40905 HEALTH PARTNERS INDIVIDUA
Minnesota Other 31P64AN HEALTH PARTNERS INDIVIDUA
Minnesota Other 6146579 HEALTH PARTNERS INDIVIDUA
Minnesota Other 9233 HEALTH PARTNERS INDIVIDUA
Minnesota Other 104570 HEALTH PARTNERS INDIVIDUA
Minnesota MEDICAID 100352600 HEALTH PARTNERS INDIVIDUA
Minnesota Other 31P65AN HEALTH PARTNERS INDIVIDUA

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