| Brooke Kraushaar,psy.d,llc | |
|
6321 Alamo Ave Saint Louis MO 63105-3103 | |
| (314) 210-2001 | |
| Not Available |
| Full Name | Brooke Kraushaar,psy.d,llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6321 Alamo Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Brooke E Kraushaar (PRESIDENT) |
| Authorized Official Contact | 3142102001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Kraushaar,psy.d,llc 9890 Clayton Rd Suite 100 Saint Louis MO 63124-1685 Ph: (314) 210-2001 | Brooke Kraushaar,psy.d,llc 6321 Alamo Ave Saint Louis MO 63105-3103 Ph: (314) 210-2001 |
| NPI Number | 1104176064 |
|---|---|
| Provider Enumeration Date | 09/18/2012 |
| Last Update Date | 09/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104176064 | NPI | - | NPPES |
| 1477685477 | Other | MO | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2007003961 (Missouri) | Primary |
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