Alice G Vlietstra in Saint Louis - Health Service
Alice G Vlietstra - NPI 1841324753
Alice G Vlietstra is a Health Service in Saint Louis, Missouri. Alice G Vlietstra practices all healthcare services and medical treatments related to Health Service. The NPI Number for Alice G Vlietstra is 1841324753. The last update date is 2010-08-25.
Alice G Vlietstra's current location address is 3042 Andover Dr, Saint Louis, Missouri. You can contact this provider via phone number 3148825537 and fax number 3142989274. The mailing address for Alice G Vlietstra is 3042 Andover Dr, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alice G Vlietstra |
|---|---|
| Address | 3042 Andover Dr, Saint Louis, Missouri |
| Phone Number | 3148825537 |
| Fax Number | 3142989274 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1841324753 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2010-08-25 |
Provider Mailing Address Detail
| Address | 3042 Andover Dr |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631214606 |
| Phone Number | 3148825537 |
| Fax Number | 3142989274 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | 1089 |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1601 | MO | BLUE CROSS BLUE SHIELD | |
| 75243 | MO | VALUE OPTIONS |
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What is the unique 10-digit identification code issued to Alice G Vlietstra by the Centers for Medicare & Medicaid Services?
The Alice G Vlietstra has been assigned the NPI (National Provider Identifier) 1841324753 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Alice G Vlietstra located?
The Alice G Vlietstra is located at 3042 Andover Dr, Saint Louis, MO 631214606.
What is Alice G Vlietstra's area of expertise and its corresponding taxonomy classification?
The Alice G Vlietstra's field of specialization is Health Service, and it falls under the taxonomy code 103Th0100X, which categorizes healthcare providers based on their areas of practice.
When was the Alice G Vlietstra's 1841324753 issued?
The Alice G Vlietstra's 1841324753 was issued on 2007-03-15.
When was the Alice G Vlietstra's information last updated?
The Alice G Vlietstra's information was last updated on 2010-08-25.
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