Clarkson Counseling Pc | |
249 Clarkson Road Suite 102 Ellisville MO 63011-2219 | |
(636) 256-0600 | |
(636) 256-0626 |
Full Name | Clarkson Counseling Pc |
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Speciality | Psychologist |
Location | 249 Clarkson Road, Ellisville, Missouri |
Authorized Official Name and Position | Karen Jean Preusser (PRESIDENT) |
Authorized Official Contact | 6362560600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clarkson Counseling Pc 249 Clarkson Road Suite 102 Ellisville MO 63011-2219 Ph: (636) 256-0600 | Clarkson Counseling Pc 249 Clarkson Road Suite 102 Ellisville MO 63011-2219 Ph: (636) 256-0600 |
NPI Number | 1487756748 |
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Provider Enumeration Date | 09/05/2006 |
Last Update Date | 02/07/2011 |
Medicare PECOS PAC ID | 3274715461 |
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Medicare Enrollment ID | O20110309000453 |
Identifier | Type | State | Issuer |
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1487756748 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
Provider Name | Melvin L French |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1063632693 PECOS PAC ID: 1052492519 Enrollment ID: I20090528000563 |
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