| Indvidualized Therapy & Care, P.c. | |
|
5858 White Pine Dr Saint Louis MO 63129-2954 | |
| (314) 894-9438 | |
| Not Available |
| Full Name | Indvidualized Therapy & Care, P.c. |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 5858 White Pine Dr, Saint Louis, Missouri |
| Authorized Official Name and Position | Bonnie K Schwender (OWNER) |
| Authorized Official Contact | 3148949438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indvidualized Therapy & Care, P.c. 5858 White Pine Dr Saint Louis MO 63129-2954 Ph: (314) 894-9438 | Indvidualized Therapy & Care, P.c. 5858 White Pine Dr Saint Louis MO 63129-2954 Ph: (314) 894-9438 |
| NPI Number | 1356550289 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356550289 | NPI | - | NPPES |
| 494788409 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 01800 (Missouri) | Primary |
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