Christian Psychological & Family Services | |
9378 Olive Blvd Ste 106 Saint Louis MO 63132-3222 | |
(314) 567-4994 | |
(314) 567-8581 |
Full Name | Christian Psychological & Family Services |
---|---|
Speciality | Psychologist |
Location | 9378 Olive Blvd Ste 106, Saint Louis, Missouri |
Authorized Official Name and Position | John Thomas Trimble (CEO/PRESIDENT) |
Authorized Official Contact | 3145674994 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Christian Psychological & Family Services 9378 Olive Blvd Ste 106 Saint Louis MO 63132-3222 Ph: () - | Christian Psychological & Family Services 9378 Olive Blvd Ste 106 Saint Louis MO 63132-3222 Ph: (314) 567-4994 |
NPI Number | 1679885677 |
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Provider Enumeration Date | 07/07/2010 |
Last Update Date | 07/07/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679885677 | NPI | - | NPPES |
3688245 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 5873946 (Tennessee) | Secondary |
103T00000X | Psychologist | 00654 (Missouri) | Primary |
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