Sparrow Psychological Services, Llc | |
777 Craig Rd Suite 100 Saint Louis MO 63141-7138 | |
(314) 991-1033 | |
(314) 395-2432 |
Full Name | Sparrow Psychological Services, Llc |
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Speciality | Clinic/Center |
Location | 777 Craig Rd, Saint Louis, Missouri |
Authorized Official Name and Position | Robin Susan Park (MANAGING MEMBER) |
Authorized Official Contact | 3149911033 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sparrow Psychological Services, Llc 777 Craig Rd Suite 100 Saint Louis MO 63141-7138 Ph: (314) 991-1033 | Sparrow Psychological Services, Llc 777 Craig Rd Suite 100 Saint Louis MO 63141-7138 Ph: (314) 991-1033 |
NPI Number | 1831274943 |
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Provider Enumeration Date | 10/26/2006 |
Last Update Date | 01/17/2008 |
Medicare PECOS PAC ID | 3476658899 |
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Medicare Enrollment ID | O20070413000195 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831274943 | NPI | - | NPPES |
Provider Name | Robin Park |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1407871213 PECOS PAC ID: 4587769997 Enrollment ID: I20070413000164 |
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