Provider Demographics
NPI:1427364355
Name:REMPEL, VANESSA RACHELLE (PHD, LP)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:RACHELLE
Last Name:REMPEL
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 CLEVELAND AVE S STE B6
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-1255
Mailing Address - Country:US
Mailing Address - Phone:612-216-1209
Mailing Address - Fax:651-560-3514
Practice Address - Street 1:241 CLEVELAND AVE S STE B6
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55105-1255
Practice Address - Country:US
Practice Address - Phone:612-216-1209
Practice Address - Fax:651-560-3514
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP5129103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist