| Hope N. Heller, Ph.d., Professional Services | |
|
11330 Olive Blvd Suite 225 Saint Louis MO 63141-7149 | |
| (314) 567-7500 | |
| (314) 567-8512 |
| Full Name | Hope N. Heller, Ph.d., Professional Services |
|---|---|
| Speciality | Social Worker |
| Location | 11330 Olive Blvd, Saint Louis, Missouri |
| Authorized Official Name and Position | Hope N Heller (PRESIDENT CEO) |
| Authorized Official Contact | 3145677500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope N. Heller, Ph.d., Professional Services 11330 Olive Blvd Suite 225 Saint Louis MO 63141-7149 Ph: (314) 567-7500 | Hope N. Heller, Ph.d., Professional Services 11330 Olive Blvd Suite 225 Saint Louis MO 63141-7149 Ph: (314) 567-7500 |
| NPI Number | 1487938155 |
|---|---|
| Provider Enumeration Date | 09/29/2011 |
| Last Update Date | 01/18/2012 |
| Medicare PECOS PAC ID | 4082881933 |
|---|---|
| Medicare Enrollment ID | O20120118000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487938155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 000144 (Missouri) | Primary |
| Provider Name | Hope N Heller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700968112 PECOS PAC ID: 3779750559 Enrollment ID: I20120119000136 |
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