Matthew Douglas Kliethermes in Saint Louis - Clinical Child & Adolescent
Matthew Douglas Kliethermes - NPI 1255489902
Matthew Douglas Kliethermes is a Clinical Child & Adolescent in Saint Louis, Missouri. Matthew Douglas Kliethermes practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Matthew Douglas Kliethermes is 1255489902. The last update date is 2007-07-08.
Matthew Douglas Kliethermes's current location address is 1 University Blvd, Saint Louis, Missouri. You can contact this provider via phone number 3145167231. The mailing address for Matthew Douglas Kliethermes is 1 University Blvd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Douglas Kliethermes |
|---|---|
| Address | 1 University Blvd, Saint Louis, Missouri |
| Phone Number | 3145167231 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1255489902 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 University Blvd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631214400 |
| Phone Number | 3145167231 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 2004024732 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique 10-digit identifier code assigned to Matthew Douglas Kliethermes by the Centers for Medicare & Medicaid Services?
The Matthew Douglas Kliethermes has been issued the NPI (National Provider Identifier) 1255489902 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Matthew Douglas Kliethermes's physical address?
The Matthew Douglas Kliethermes is physically located at 1 University Blvd, in the city of Saint Louis, MO, with the postal code 631214400.
What is the area of specialization for Matthew Douglas Kliethermes, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Matthew Douglas Kliethermes is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1255489902 to Matthew Douglas Kliethermes?
The Matthew Douglas Kliethermes received its 1255489902 assignment from the Centers for Medicare & Medicaid Services on 2007-01-08.
When was the information pertaining to Matthew Douglas Kliethermes most recently updated or revised?
The details related to Matthew Douglas Kliethermes, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.