Mr Roger J Fournelle Jr, MED LPC NCC NCP is a
Psychologist based in Saint Louis, Missouri. Mr Roger J Fournelle Jr is licensed to practice in * (Not Available) (license number 01194) and his current practice location is
3720 Hampton Ave, Suite 207, Saint Louis, Missouri. He can be reached at his office (for appointments etc.) via phone at
(314) 559-4209.
NPI number for Mr Roger J Fournelle Jr is 1538138375 and his current mailing address is 3831 Bowen St, St Louis, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538138375.
Healthcare Provider's Profile
| Full Name | Mr Roger J Fournelle Jr |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | 3720 Hampton Ave, Saint Louis, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538138375
- Provider Enumeration Date: 03/15/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Roger J Fournelle Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538138375 | NPI | - | NPPES |
| 179068 | Other | MO | BLUE CROSS BLUE SHIELD |
| 7811255 | Other | | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 61290 (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | 2000152363 (Missouri) | Primary |
| 103T00000X | Psychologist | 01194 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Roger J Fournelle Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Roger J Fournelle Jr, MED LPC NCC NCP
3831 Bowen St,
St Louis, MO 63116-3123
Ph: (314) 752-9445 | Mr Roger J Fournelle Jr, MED LPC NCC NCP
3720 Hampton Ave, Suite 207,
Saint Louis, MO 63109-1438
Ph: (314) 559-4209 |
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