| Catherine L Benoist Psyd Llc | |
|
1034 S Brentwood Blvd Ste 1601 Saint Louis MO 63117-1216 | |
| (847) 220-4602 | |
| Not Available |
| Full Name | Catherine L Benoist Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1034 S Brentwood Blvd Ste 1601, Saint Louis, Missouri |
| Authorized Official Name and Position | Catherine L Benoist (OWNER/THERAPIST) |
| Authorized Official Contact | 3143106812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine L Benoist Psyd Llc 1846 Pickfair Dr Saint Louis MO 63146-3626 Ph: (314) 310-6812 | Catherine L Benoist Psyd Llc 1034 S Brentwood Blvd Ste 1601 Saint Louis MO 63117-1216 Ph: (847) 220-4602 |
| NPI Number | 1033897806 |
|---|---|
| Provider Enumeration Date | 07/10/2023 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/11/2023 |
| Medicare PECOS PAC ID | 1456708106 |
|---|---|
| Medicare Enrollment ID | O20231117000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033897806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Catherine L Benoist |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164724969 PECOS PAC ID: 4183811458 Enrollment ID: I20231117000276 |
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