| James Rw Linsin Psyd Llc | |
|
522 N New Ballas Rd Ste 163 Saint Louis MO 63141-6815 | |
| (636) 591-1974 | |
| (314) 997-8874 |
| Full Name | James Rw Linsin Psyd Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 522 N New Ballas Rd Ste 163, Saint Louis, Missouri |
| Authorized Official Name and Position | James Ross Walcott Linsin (CLINCIAL PSYCHOLOGIST) |
| Authorized Official Contact | 6365911974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Rw Linsin Psyd Llc 522 N New Ballas Rd Ste 163 Saint Louis MO 63141-6815 Ph: (636) 591-1974 | James Rw Linsin Psyd Llc 522 N New Ballas Rd Ste 163 Saint Louis MO 63141-6815 Ph: (636) 591-1974 |
| NPI Number | 1427529965 |
|---|---|
| Provider Enumeration Date | 12/10/2018 |
| Last Update Date | 04/14/2023 |
| Certification Date | 04/14/2023 |
| Medicare PECOS PAC ID | 6305182908 |
|---|---|
| Medicare Enrollment ID | O20190117002190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427529965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | James Rw Linsin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609314277 PECOS PAC ID: 1355624479 Enrollment ID: I20170214002727 |
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