Nicole R. Kruger in Ellisville - Clinical

Nicole R. Kruger - NPI 1154428076

Nicole R. Kruger is a Clinical in Ellisville, Missouri. Nicole R. Kruger practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nicole R. Kruger is 1154428076. The last update date is 2011-03-23.

Nicole R. Kruger's current location address is 249 Clarkson Rd, Ellisville, Missouri. You can contact this provider via phone number 5155570560. The mailing address for Nicole R. Kruger is 249 Clarkson Rd, Ellisville, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicole R. Kruger
Address 249 Clarkson Rd, Ellisville, Missouri
Phone Number 5155570560
Fax Number
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1154428076
Provider Enumeration Date 2006-09-20
Last Updated Date 2011-03-23

Provider Mailing Address Detail

Address 249 Clarkson Rd
City Ellisville
State Missouri (MO)
Post Code 630112219
Phone Number 5155570560
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 2010042353
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2934 IA WELLMARK BLUE CROSS
7522737 IA MIDLANDS CHOICE
42105384450265A IA TRIWEST

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FAQs about Nicole R. Kruger

What is the unique identification code assigned to Nicole R. Kruger by the Centers for Medicare & Medicaid Services?

The Nicole R. Kruger has been issued the NPI (National Provider Identifier) 1154428076. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Nicole R. Kruger's facilities are situated?

The facilities of Nicole R. Kruger are physically located at the following address: 249 Clarkson Rd, Ellisville, MO, 630112219.

What is Nicole R. Kruger's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Nicole R. Kruger is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.

When was the Nicole R. Kruger's 1154428076 issued?

The Nicole R. Kruger's 1154428076 was issued on 2006-09-20.

When was the information regarding Nicole R. Kruger most recently updated?

The details pertaining to the Nicole R. Kruger, including its address, specialty, and other relevant information, were last refreshed on 2011-03-23.

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