Organization
ROBERT MANTELL, RN, PHD, LICENSED PSYCHOLOGIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ALAN MANTELL RN, PHD (PSYCHOLOGIST)
(651) 503-6322
Entity
Organization
Contact information
Practice address
821 RAYMOND AVE STE 330, SAINT PAUL, MN 55114-1510
(651) 503-6322
(651) 642-1506
Mailing address
1549 BRANSTON ST, SAINT PAUL, MN 55108-1437
(651) 503-6322
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP4396
MN
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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