Unknown Individual – Psychologist, NPI 1124020789
Psychologist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
745, Craig Road, Creve Coeur Executive Office Park, Creve Coeur, Saint Louis County, Missouri, 63141, United States
STE 210
SAINT LOUIS, MO 631417160
Phone: (314) 997-1183
Fax: (314) 997-1196
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63141)
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