Organization
ROBERT MANTELL, RN, PHD, LICENSED PSYCHOLOGIST
Active
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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