Unknown Individual – Clinical Child & Adolescent Psychologist, NPI 1386651982
Clinical Child & Adolescent Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
11140, South Towne Square, Green Park, Saint Louis County, Missouri, 63123, United States
SUITE 205
SAINT LOUIS, MO 631237830
Phone: (314) 845-1550
Fax: (314) 845-1550
Mailing address matches the actual address.
NPPES updates history
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Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 63123)
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