Roger J Fournelle in St Louis - Psychologist
Roger J Fournelle - NPI 1538138375
Roger J Fournelle is a Psychologist in St Louis, Missouri. Roger J Fournelle practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Roger J Fournelle is 1538138375. The last update date is 2007-07-08.
Roger J Fournelle's current location address is 3831 Bowen St, St Louis, Missouri. You can contact this provider via phone number 3147529445 and fax number 3147529445. The mailing address for Roger J Fournelle is 3831 Bowen St, St Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger J Fournelle |
|---|---|
| Address | 3831 Bowen St, St Louis, Missouri |
| Phone Number | 3147529445 |
| Fax Number | 3147529445 |
| Sole Proprietor | X |
| Credentials | MED LPC NC |
NPI Number Detail
| NPI Number | 1538138375 |
|---|---|
| Provider Enumeration Date | 2006-03-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3831 Bowen St |
|---|---|
| City | St Louis |
| State | Missouri (MO) |
| Post Code | 631163123 |
| Phone Number | 3147529445 |
| Fax Number | 3147529445 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1194 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 179068 | MO | BLUE CROSS BLUE SHIELD | |
| 7811255 | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Roger J Fournelle by the Centers for Medicare & Medicaid Services?
The Roger J Fournelle has been assigned the NPI (National Provider Identifier) 1538138375 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Roger J Fournelle is geographically located?
The Roger J Fournelle is physically situated at the following location: 3831 Bowen St, St Louis, MO, 631163123.
What is the area of specialization for Roger J Fournelle, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Roger J Fournelle is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did Roger J Fournelle receive its 1538138375 assignment from the Centers for Medicare & Medicaid Services?
The Roger J Fournelle was assigned its 1538138375 on 2006-03-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Roger J Fournelle most recently updated or refreshed?
The details pertaining to the Roger J Fournelle, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.