Robert Mantell, Rn, Phd, Licensed Psychologist | |
821 Raymond Ave Ste 330 Saint Paul MN 55114-1510 | |
(651) 503-6322 | |
(651) 642-1506 |
Full Name | Robert Mantell, Rn, Phd, Licensed Psychologist |
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Speciality | Psychologist - Counseling |
Location | 821 Raymond Ave Ste 330, Saint Paul, Minnesota |
Authorized Official Name and Position | Robert Alan Mantell (PSYCHOLOGIST) |
Authorized Official Contact | 6515036322 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Robert Mantell, Rn, Phd, Licensed Psychologist 1549 Branston St Saint Paul MN 55108-1437 Ph: (651) 503-6322 | Robert Mantell, Rn, Phd, Licensed Psychologist 821 Raymond Ave Ste 330 Saint Paul MN 55114-1510 Ph: (651) 503-6322 |
NPI Number | 1659852093 |
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Provider Enumeration Date | 08/23/2018 |
Last Update Date | 08/23/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659852093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | LP4396 (Minnesota) | Primary |
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