Phoenix Psychological Group, Inc in Saint Louis - Prescribing (medical)
Phoenix Psychological Group, Inc - NPI 1386767994
Phoenix Psychological Group, Inc is a Prescribing (medical) in Saint Louis, Missouri. Phoenix Psychological Group, Inc practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for Phoenix Psychological Group, Inc is 1386767994. The last update date is 2020-08-22.
Phoenix Psychological Group, Inc's current location address is 225 S Meramec Ave, Saint Louis, Missouri. You can contact this provider via phone number 3148633588 and fax number 3148630074. The mailing address for Phoenix Psychological Group, Inc is 225 S Meramec Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Phoenix Psychological Group, Inc |
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Address | 225 S Meramec Ave, Saint Louis, Missouri |
Phone Number | 3148633588 |
Fax Number | 3148630074 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Shaw S Patricia |
Credentials | PHD |
Telephone Number | 3148633588 |
NPI Number Detail
NPI Number | 1386767994 |
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Provider Enumeration Date | 2007-04-09 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 225 S Meramec Ave |
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City | Saint Louis |
State | Missouri (MO) |
Post Code | 631053596 |
Phone Number | 3148633588 |
Fax Number | 3148630074 |
Provider's Primary Taxonomy Detail
Speciality | Prescribing (medical) |
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Taxonomy | 103Tp0016X |
Licence No | PY01201 |
Definition: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establis |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
493257802 | MO | -- | |
1245254317 | MO | NPI-PATRICIA SHAW |
Post Comment/ Review Below
What is the Phoenix Psychological Group, Inc's unique identification number?
The Phoenix Psychological Group, Inc has been assigned the NPI (National Provider Identifier) Number 1386767994 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Phoenix Psychological Group, Inc is geographically located?
The Phoenix Psychological Group, Inc is physically situated at the following location: 225 S Meramec Ave, Saint Louis, MO, 631053596.
What is Phoenix Psychological Group, Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Phoenix Psychological Group, Inc is Prescribing (medical), and the corresponding taxonomy classification code for this specialized field is 103Tp0016X.
When did the Phoenix Psychological Group, Inc receive its 1386767994?
The Phoenix Psychological Group, Inc was issued its 1386767994 on 2007-04-09, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Phoenix Psychological Group, Inc last refreshed?
The information related to the Phoenix Psychological Group, Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.