| Rainbow Lantern Psychological Services | |
|
7023 Plateau Ave Saint Louis MO 63117-1942 | |
| (719) 377-1235 | |
| Not Available |
| Full Name | Rainbow Lantern Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 7023 Plateau Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Alice Andres (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7193771235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainbow Lantern Psychological Services 7023 Plateau Ave Saint Louis MO 63117-1942 Ph: (719) 377-1235 | Rainbow Lantern Psychological Services 7023 Plateau Ave Saint Louis MO 63117-1942 Ph: (719) 377-1235 |
| NPI Number | 1013657030 |
|---|---|
| Provider Enumeration Date | 03/29/2022 |
| Last Update Date | 03/29/2022 |
| Certification Date | 03/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013657030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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